United States Job Openings
State of Delaware
Insurance Coverage Officer
Dover
September 14, 2024
Essential Functions
- Performs coverage analysis, investigation, evaluation, negotiation, and deposition of insurance claims for all lines of insurance except health, life and disability managed and paid on behalf of the State of Delaware. This includes conducting research, collecting data, performing investigations, mediating disputes and negotiating claim settlements when appropriate.
- Provides expertise on behalf of the State on insurance programs and other insurance claims questions.
- Makes proper determination of coverage, legal liability, and damages to effect settlement of claims.
- Directs contracted appraisers, investigators, rehabilitation specialists, adjusters, and attorneys in adjudicating claims.
- Prepares Request For Proposals (RFPs) for insurance coverage and other contracted services.
- Researches federal and state statutes and insurance regulations and keeps abreast of new and/or revised pending legislation for potential impact on the State.
- Prepares files with required forms exhibits and reports to assist in litigation management and maintains a working diary for each assigned claim file.
- Maintains records and reports of the self-insurance fund.
- Ensures all subrogation is promptly identified, the responsible party is documented in an automated information system and subrogation letters are sent to responsible parties.
Job Requirements
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
- Possession of a Delaware Insurance Adjuster's License in one or more of the following lines of authority: Casualty, Motor Vehicle, Workers Compensation, or Property.
- Six months experience in investigating, evaluating and negotiating insurance claims and making determinations for coverage, legal liabilities and damages affecting the settlement of claims.
- Three years experience in interpreting insurance laws, rules, regulations, standards, policies and procedures.
- Six months experience in narrative report writing.
- Knowledge of medical terminology.
Conditions of Hire
Benefits
Selection Process
Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at State Jobs.Delaware.gov.
Accommodations
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.
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