Claims Administrator

Salary: $70,428.80 - $91,551.20 Annually
Location : Denton, TX
Job Type: Full-Time
Job Number: 25-00076
Department: Risk Retention/Health Ins
Division: RIsk Management
Opening Date: 04/09/2025
Closing Date: 5/9/2025 11:59 PM Central
FLSA: Exempt

Summary

This requisition expires on May 9, 2025 but may close earlier if the position is filled prior to the expiration date.

Responsible for the full-cycle claims adjusting and handling processes for the City of Denton. Oversee subrogation claims associated with assigned claim files, analyze claims data to identify and track trends, and provide training to internal stakeholders to minimize liability.
Essential Functions and Other Important Duties

ESSENTIAL FUNCTIONS
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

DUTIES

• Responsible for full-cycle claims adjusting for any combination of workers' compensation, auto liability, property damage, bodily injury, catastrophic loss, and other general liability claims, including but not limited to, investigation, interviews, claims analysis, verification of applicable coverages, determination of liability, denial, negotiation, reserve setting, negotiating with plaintiff counsel and other outside parties, mediation, trial and settlement of all liability claims within designated authority.
• Conduct on-site inspection of property damage, documents findings, and obtain and review police and other official reports, medical records, appraisals, and repair estimates to evaluate injuries and property damage; work with lien holders on property damage claims to ensure compliance with regulations.
• Handle complex bodily injury claims to conclusion; analyze injury information to ensure the injury is compensable and related based on the mechanism of injury, and injury treatment plans and medical records to ensure proper treatment of injury claims.
• Ensure regulatory compliance and proper handling of complex claims within multiple jurisdictions is complete through identification and analyzation of jurisdictional issues,
• Assist with the evaluation of Risk Management-related statistics, defining target goals, and monitor goal achievement; design, prepare, and distribute reports on trends and potential solutions to work-related problems.
• Assist with implementation of long-range accident prevention and cost-control strategies.
• Handle the total loss automobile valuation process and salvage disposal process.
• Comply with all internal and external stakeholder reporting requirements.
• Recognize and pursue excess insurance recoveries.
• Responsible for oversight of the City's Risk Management Information System (RMIS). Consistently maintain a diary system to manage claims, meet deadlines; updates the RMIS, and ensure that all data entry is timely and accurate. Accurately records all communication or activity relevant to the claim in the claim system notes.
• Respond to requests for information, including Public Information Act (PIA) requests, and may act as liaison between internal and external stakeholders with required information on all types of claims. Provide data to actuaries as needed.
• Ensure compliance with the applicable provisions of federal, state, and local laws, regulations, ordinances, and other standards (e.g., Medicare, HIPAA, data privacy). Preserve confidentiality of Protected Health Information (PHI) and applicable documentation and files.

SUPERVISORY/BUDGET RESPONSIBILITIES
None.

OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Job Requirements

EDUCATION, EXPERIENCE, AND LICENSES/CERTIFICATIONS

• Bachelor's Degree from an accredited college or university in Risk Management, Safety, Occupational Health and Safety, Environmental Health, Engineering, or related field; and,
• Three (3) years' experience in liability claims adjusting; and possess at least one (1) of the following,
• One (1) year experience adjusting bodily injury claims; and,
• One (1) year experience adjusting litigated claims or claims with plaintiff attorney representation; and,
• One (1) year experience adjusting auto liability claims, and,
• Must have a Texas Multi-line Adjuster's license or be able to obtain one within 90 days of employment,

OR

• Any combination of related education, experience, certifications, and licenses that will result in a candidate successfully performing the essential functions of the job.

REQUIRED SKILLS/ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required:

• Knowledge of Texas Workers' Compensation Act, tort law, and contractual law.
• Knowledge of liability claims handling, basic insurance, and law processes and procedures.
• Knowledge of Citywide policies and procedures.
• Skill in reading and comprehending highly technical or specialized materials.
• Skill in reading and interpreting plans, blueprints, schematics, and/or other related development documents.
• Skill in active listening; giving full attention to what other people are saying, taking time to understand the points communicated, asking questions as appropriate, and not interrupting at inappropriate times.
• Skill at an advanced level with Microsoft Office 365 and other software systems necessary to complete work.
• Skill in analyzing and researching, to interpret and understand policies, laws, and regulations, and to provide workable recommendations and solutions to problems that maintain compliance.
• Skill in judgment and creativity in decision-making; considering the relative costs and benefits of potential actions and select the most appropriate one.
• Skill in interpreting and applying applicable code requirements and permitting processes.
• Ability to gather and analyze data, draw conclusions, and present data and other information in a clear and logical manner.
• Ability to form and maintain effective relationships.
• Ability to organize and coordinate work, maintain attention to details and quality, and meet deadlines.
• Ability to communicate effectively, in both oral and written forms, as appropriate for the needs of the audience.
• Ability to engage in self-evaluation regarding performance and professional growth.
• Ability to motivate, mentor and manage teams through direct and indirect influence.
• Ability to develop, understand, interpret, and apply rules, policies, and procedures operations.
• Ability to handle records and complex situations of a confidential nature.
• Ability to simultaneously handle multiple tasks and changing priorities in an efficient and effective manner.
• Ability to maneuver comfortably through complex policy, process, and people-related organizational dynamics.

CONDITIONS OF EMPLOYMENT

• Must have and maintain a valid Class "C" Driver's License and valid state required minimum automobile liability insurance prior to employment (must obtain Texas Class "C" driver's license and state required minimum automobile liability insurance within 90 days of hire per state law)
• Must pass a drug test, driver's license check, criminal history background check, and social security number verification.
• If does not already possess a Texas Multi-line Adjuster's license, must be obtained within be able to obtain within 90 days of employment.

Environmental Factors and Conditions/Physical Requirements

SAFETY

• Perform preventive maintenance on tools and equipment; ensure equipment is in safe operating condition.
• Follow established safety procedures and techniques to perform job duties, including lifting and climbing; operate tools and equipment according to established safety procedures.
• Promptly report unsafe conditions in the work area and/or any conditions that are not immediately correctable to the supervisor.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

• Safety Sensitive (Subject to random drug testing): No.
• Tools/Equipment Used: Standard office equipment, including computer and peripherals, claims evaluation equipment including, camera, , wearing, personal protective equipment (PPE), including but not limited to, hard hat, safety vest, boots and occasional operation of a motor vehicle.
• Posture: Prolonged sitting and standing; occasional stooping, squatting, kneeling, bending, pushing/pulling, and twisting.
• Motion: Frequent repetitive hand motions, including keyboarding and use of mouse; occasional reaching.
• Lifting: Lifting no more than 20 pounds and carrying up to 10 pounds.
• Environment: Works in an office setting and occasionally outside with exposure to increment weather, noise, debris, odor, chemicals, and rough terrain; occasionally requires irregular and/or prolonged hours.
• Travel: Travels to City of Denton buildings and professional meetings as required.
• Attendance: Regular and punctual attendance at the worksite is required for this position. Must be able to work outside normal business hours, as needed.
• Mental Demands: Maintains emotional control under stress; works with frequent interruptions.

CORE VALUES

• Inclusive
• Collaborative
• Service-Oriented
• Strategically Focused
• Fiscally Responsible

TOP TIER BENEFITS

• Medical, dental, and vision coverage in addition to life and disability insurance plans
• Employee Health Clinic
• Paid Vacation Days and Paid Holidays
• Retirement Plan

EEO STATEMENT
The City of Denton is an equal opportunity employer. It is the City of Denton's policy to prohibit discrimination and harassment of any type and to afford equal employment opportunities to employees and applicants without regard to any protected class, status, characteristic, or activity. All employment decisions, including decisions regarding recruitment, selection, hiring, compensation, benefits, training, advancement, discipline, discharge, and other terms, conditions, and privileges of employment are made without regard to any lawfully protected class, status, characteristic, or activity.

ADA/EOE/ADEA

This job description is not an employment agreement, contract agreement, or contract. Management has the exclusive right to alter this job description at any time without notice.

E-Verify:
The City of Denton participates in the federal E-Verify program in order to verify a new employee's authorization to work in the United States. Applicants must be lawfully authorized to work in the U.S.
The City of Denton maintains competitive benefit options. Details are available here.
01

Do you believe you meet the minimum qualifications as outlined in the job description?

• Yes
• No

02

Which best describes your highest completed level of education?

• High School Diploma or GED
• Associate Degree or Technical Certification
• Bachelor's Degree
• Master's Degree or higher
• None of the above

03

How many years of paid, professional-level experience do you have in this field?

• Less than 6 months
• 6 months to less than 1 year
• 1 year to less than 2 years
• 2 years to less than 3 years
• 3 years to less than 4 years
• 4 years to less than 5 years
• 5 years to less than 6 years
• 6 years to less than 7 years
• 7 years to less than 8 years
• 8 years to less than 9 years
• 9 years to less than 10 years
• 10 years or more

04

Do you currently have a Texas All Lines Adjuster License?

• Yes
• No

Required Question