This information is for reference only. These classifications are no longer valid and were replaced 7/1/2020.
This is senior-level technical work coordinating quality control standards in the administration of risk and insurance management for Missouri state government and public entities.
Applicants must meet one of the following eligibility requirements:
(The following minimum qualifications will determine merit system eligibility. Allowable experience and education substitutions are provided in italics below the corresponding minimum qualification statement; no other substitutions will be permitted. These minimum qualifications may also be used to evaluate applicants for Missouri Uniform Classification and Pay System positions not requiring selection from merit registers.)
One or more years of experience as a Risk Management Technician II with the Missouri Uniform Classification and Pay System.
OR
A Bachelor's degree from an accredited college or university with a minimum of 24 earned credit hours in Risk Management.
OR
A Bachelor's degree from an accredited college or university with a minimum of 15 earned credit hours in one or a combination of the following: Business or Public Administration, Risk Management, Safety Administration, or a closely related field; and,
Two or more years of professional or advanced technical experience in the areas of: administration of property, liability, or workers' compensation claims; administration of a commercial insurance program for a private or public entity; underwriting; risk management; property and liability; or risk and loss control.
(24 earned graduate credit hours from an accredited college or university in the specified areas may substitute for a maximum of one year of the required experience.)
(Additional qualifying experience may substitute on a year-for-year basis for deficiencies in the required education.)
This description may not include all of the duties, knowledge, skills, or abilities associated with this classification.
Serves as the quality control coordinator for the workers' compensation, property, and/or liability programs or the Missouri Public Entity Risk Management Fund's underwriting, claims, and/or loss control programs.
Ensures compliance with established quality control standards and trains employees on the essential technical requirements of claims processing and liability/property underwriting procedures.
Investigates and negotiates claims and approves payments for property, liability, and/or workers' compensation within established levels of authority; conducts interviews and investigations as directed.
Consults with and provides assistance and information to state and public entity officials, insurance officials, state employees, legal and medical professionals, agents, brokers, adjusters, vendors, and others.
Investigates multifaceted cases and seeks specialized experts (e.g. physicians, attorneys, etc.) to render opinions when appropriate.
Calculates and determines benefits for lost time cases; approves completed rating information for insurance coverage quotes; and/or collects and formulates technical underwriting data required by property and liability programs.
Reviews rating factors to determine appropriate rate classifications; evaluates applications and questionnaires from public entities to determine risk exposures.
Liaisons with state and public entities, legal and insurance professionals, and/or the Office of the Attorney General in preparing cases for litigation.
Provides technical data, analysis, and reports related to risk, workers' compensation, property, liability, underwriting, claims, and/or loss control programs.
Attends and participates in risk and/or insurance seminars and training sessions.
Receives general direction from an administrative supervisor who reviews work for conformance to established procedures and policies.
Performs other related work as assigned.
Comprehensive knowledge of Missouri statutes dealing with sovereign immunity, property insurance, auto insurance, law enforcement, general liability, medical malpractice, and/or workers' compensation.
Comprehensive knowledge of workers' compensation, property and liability insurance, self-insurance and/or medical insurance, or the Missouri Public Entity Risk Management Fund, including underwriting, claims administration, member services, and loss control.
Comprehensive knowledge of insurance/claims and/or underwriting practices and standards.
Ability to analyze and prepare advanced technical data relating to insurance, loss control, exposures, and/or workers' compensation claims.
Ability to work independently, provide attention to detail, and establish and review work procedures and standards.
Ability to establish and maintain effective working relationships and interact professionally, even in adversarial situations, with public entity and government officials, state employees, medical and legal professionals, insurance agents/brokers, and the general public.
Ability to communicate and express ideas clearly and concisely.