Insurance and Claims Assistant II (SR-14)

Performs specialized clerical and administrative support services relating to underwriting and analyzing insurance policies and contracts, reviewing and monitoring risk exposure and loss control activities, establishing and maintaining document/record control systems and processing insurance claims; formulating insurance bid specifications; and performing other related duties as required.

Distinguishing Characteristics:

This class differs from the Insurance and Claims Assistant I class in that it is responsible for performing the full range and variety of work involving the review and evaluation of underwriting data, insurance proposals and contracts; preparation of comparative cost and benefit analysis; identification and examination of potential sources of liability and loss; and processing and auditing of claims; whereas the Insurance and Claims Assistant I is responsible performing moderately difficult work involving compilation, review and analysis of underwriting data to identify and monitor risk exposures, preparation of insurance documents and specifications, and the processing of claims in support of the County's risk management program.

The following are examples of duties and are not necessarily descriptive of any one position in this class. The omission of specific duties statements does not preclude management from assigning such duties if such duties are a logical assignment for the position. Develops underwriting criteria for new and/or existing insurance programs; Collects and compiles underwriting data, prepares analyses, and other data reports subject to the Risk Management Officer's review; Initiates correspondence to departments, agencies, and insurance brokers, etc., to solicit required information, clarify or update data, and advise of changes impacting insurance coverage; Prepares insurance specifications and bid packages; Clarifies information regarding the bid specification or proposal with insurance underwriters and brokers; Receives and reviews submitted proposals to ensure strict compliance with bid specifications on advertised procurement; Prepares a comparative summary cost and benefit analysis for each proposal subject to the Risk Management Officer's review; Reviews loss control reports to identify new or unusual exposures or hazards; Receives and verifies letters of claims or billings for accuracy and compliance with contract specifications, then processes billings for payment. Clarifies insurance premium billings and personal claims with the accounting office and provides information to the general public on filing and receiving claims; Refers claims reports, letters, or telephone calls to the appropriate insurer; Monitors loss payments and processes monthly billings; Maintains the program's database by inputting various information, i.e., negligence claims and lawsuits, auto schedules, property records, policy history records, premium records, etc., on a regular and continuing basis; Formulates reports to summarize or list vital statistics or information from the database; Maintains insurance log and policy files, including premium and related loss summaries; Provides advice regarding insurance programs and procedures to County departments and agencies; Prepares reports for review and distribution; Assists in the preparation of the annual budget; Monitors expenditures against budgets and prepares quarterly reconciliation for the Risk Management Officer; Prepares correspondence.

Training and Experience:

A combination of education and experience substantially equivalent to graduation from high school and four years of clerical experience, two of which shall have involved insurance sales or underwriting, risk management, claims management, or similar activities, and which demonstrated experience in computerized data entry.

License Requirement:

Possession of a motor vehicle operator's license valid in the State of Hawaii (equivalent to Hawaii Type 3).

Knowledge of:

pertinent aspects of insurance and risk management laws, rules and regulations; insurance industry terminology and standard documents; the various types of transactions relating to risk management work and the procedures for processing thereof; data office practices and procedures; use of standard office machines.

Ability to:

understand and interpret laws, rules, regulations, policies and procedures; understand insurance policies, contracts and agreements; examine and identify various risk exposures and hazards; formulate insurance bid specifications; collect, maintain and analyze information; deal tactfully with employees and the public; make arithmetic computations; operate standard office machines; prepare reports.

Health and Physical Condition:

Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed necessary and proper for performance of the duties.

Physical Effort Grouping:

Light