State Risk Adjuster 1

Minimum Qualifications: Three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR Six years of full-time work experience in any field; OR A bachelor's degree. EXPERIENCE SUBSTITUTION: Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Specification The official job specifications for this role, as defined by the State Civil Service, can be found here. Job Duties and

Other Information: Job Duties and

Other Information: Monitor the medical review panel process, requesting updates as necessary and making all appropriate computer entries. Corresponds with primary insurers, defense attorneys, and outside claims adjusters to determine validity, exposure, and status of claims. Evaluates incoming medical, investigative, and discovery information to determine if the layer of primary coverage could be exceeded, referring cases of liability and/or value over $100,000.00 to the supervisor. Must maintain ongoing contact with assigned future medical claimants, their caregivers, vendors, and health care providers. Requests medical reports and bills from treating health care providers. Reviews medical reports and claim information to verify the bill submitted relates to a medical malpractice claim and all necessary documentation has been received. Processes requests for payment of related charges after determining if fees are reasonable and customary and disallowing unrelated or unnecessary charges after review of suggested cuts by the senior examiner. Obtains estimates for work done to modify homes and to purchase and modify vehicles for handicapped individuals. Position Specific Details: Appointment type: Probational, Promotional Work Schedule: Monday - Friday, Overtime as needed Compensation: This position is eligible for premium pay of up to $2.00 per hour.

Benefits: Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ Parental Leave Up to six weeks paid parental leave More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx Holidays and Leave State employees receive the following paid holidays each year: New Year's Day, Martin Luther King, Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and Christmas Day. Additional holidays may be proclaimed by the Governor. State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): Louisiana State Employees Retirement System (www.lasersonline.org), Teacher's Retirement System of Louisiana (www.trsl.org), Louisiana School Employees Retirement System (www.lsers.net), among others.