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Insurance Claims Supervisor GL (State Risk Adjuster 5)

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Insurance Claims Supervisor GL (State Risk Adjuster 5)

Salary

$4,099.00 - $8,044.00 Monthly

Location

Baton Rouge, LA

Job Type

Classified

Job Number

ORM 012026 ERG

Department

Division of Administration-Risk Management

Opening Date

01/20/2026

Closing Date

2/3/2026 11:59 PM Central

+ Description

+ Benefits

+ Questions

About this Job

The Division of Administration/Office of Risk Management has a vacancy. This job title has an assigned pay grade of AS-617.

The Office of Risk Management (ORM) is the Division of Administration ancillary agency that administers the comprehensive risk management program for the State of Louisiana and is solely and statutorily responsible for managing all state insurance coverage, both purchased and self-insured, for workers’ compensation, property, and casualty exposures. ORM is responsible for managing all tort claims made against the State and department/agency/board/commission clients; and also serves as the State of Louisiana public facilities sub-recipient representative for FEMA Public Assistance Grants.

ORM State Risk Adjuster 5 positions are supervisory, and employees work in one of three Casualty Claim Units, or in the Property Claims Unit. Personnel report to and receive administrative direction from the unit manager, a State Adjuster 6. The vacant position is in the Casualty Claim - General Liability Unit, where lines of coverage include premises–operations, public officials, professional, employment practices, personal injury, media and civil/constitutional rights.

AN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING COMPETENCIES:

•Accepting Direction: The ability to be open and willing to follow guidance or instructions.

•Building and Supporting Teams: The ability to combine one's actions and efforts with others to work toward achieving a common goal.

•Displaying Expertise: The ability to demonstrate specialized knowledge, skills, and experience to apply subjectmatter expertise in diverse and evolving contexts.

•Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning.

The Division of Administration is the state government’s management arm and the hub of its financial operations. Division offices perform a wide variety of activities including the following:

+ Overseeing the state’s capital construction program

+ Working to provide state and federal grants for community development

+ Development of the state budget

+ Providing technology services

+ Giving agencies guidance in the state purchasing and contracting process as they seek goods and services

+ Administering a program that provides federal funds to help Louisiana residents recover from a series of devastating hurricanes

Minimum Qualifications

Six 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 plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR

A bachelor's degree plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR

An advanced degree in risk management or insurance, business or public administration, safety or legal studies, construction management, or a health services field plus two years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management.

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 foundhere. (https://apps01.civilservice.louisiana.gov/onestopjobinfo/DisplayJobSpec.aspx?JobCode=167620)

Job Duties and Other Information

Job Duties:

• Responsible for the comprehensive overview of all claim handling and management activities for claims, exercising first-line functional supervision over the State’s Third Party Administrator (TPA).

• Oversees work processes; reviews and approves or denies transactions that exceed authority levels delegated to TPA.

• Monitors and reviews the work of TPA desk examiners and claim adjusters. Exercises contract oversight, utilizing performance standards and guidelines in evaluating claim files and conducting performance reviews of the TPA and its employees.

• Develops and executes periodic in-depth file and performance reviews for a sufficient number of TPA claim files to ensure the adjudication of claims in compliance with TPA's contract terms.

• Examines and evaluates the handling and disposition of non-litigated claims involving, but not limited to, the level and extent of claim investigation, the assessment of liability, and settlement method or denial by the TPA.

• Receives and reviews Petitions, performs risk matter reviews, and processes Petitions to the Attorney General for legal opinions and assignment of defense counsel.

• Participates in team meetings and staffings with the Attorney General's Office, the TPA, and ORM personnel to discuss strategies and defense of the case. May attend mediations and trials, if warranted.

• Reviews claims involving litigation to ascertain whether defense counsel and TPA have conducted sufficient investigative activities. Assesses and evaluates if defense counsel has conducted appropriate discovery and is pursuing a defense unique to the State. Obtains legal opinions and case evaluations from defense attorneys, especially in cases requiring legal interpretation and/or posing major financial losses to the State.

• Prepares and submits completed case analysis of State's liability with settlement recommendations to the appropriate claims level and or Claims Council. Serves as a voting member of the claims council, which authorizes claims settlements up to a limit of $5,000,000.

• Authorized to extend individual payment and settlement authority of $100,000 without additional approvals. Direct authority to increase total claim reserves up to and including $500,000 and to approve contract amendment requests up to $100,000 without additional approvals.

Position-Specific Details:

Appointment Type: This vacancy will be filled by either a new hire or the promotion of a current, permanent-status classified employee.

Louisiana is a "State as a Model Employer" for People with Disabilities.

How To Apply:

No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

*Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumeswill notbe accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.

A criminal history check may be conducted on all new hires as well as employees changing positions, including promotions, demotions, details, reassignments, and transfers. Also, prospective employees may be subject to pre-employment drug testing. New hires will be subject to employment eligibility verification via the federal government's E-Verify system.

Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application. The selected candidate will be required to submit original documentation upon hire.

For further information about this posting, please contact:

Erica R. Gay

HR Specialist

Division of Administration/Office of Human Resources

email: [email protected]

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough 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 athttps://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). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system

+ Teacher's Retirement System of Louisiana (www.trsl.org),

+ Louisiana School Employees Retirement System (www.lsers.net), among others

01

Identify the type of insurance claims you have handled.

02

Explain duties and responsibilities, providing specifics and details of actual work performed.

03

Describe any prior experience you have overseeing litigation management, including your interaction with defense counsel, authorizing defense budgets and/or settlement requests. If no experience, write “NA.”

04

Describe any experience (whether or not specifically related to insurance claims) you have with either holding a position of file reviewer or being assigned file review tasks. Provide specifics and details of actual work performed. If no experience, write “NA.”

05

Have you ever supervised a claim adjusting service and/or a TPA (Third Party Administrator)? If yes, please explain your role and responsibilities.

06

Do you have any experience auditing invoices and/or claim files? If yes, please explain.

07

Describe your familiarity with insurance policies and coverage analysis. Be detailed and specific.

08

The ability to provide clear, concise, and professional written and verbal communication is essential for this position. Explain how your communication abilities have effectively aided you in your current or previous positions, providing example(s) and details.

09

ADi - 26: Accepting Direction - How well do you accept guidance, follow instructions, and adjust when given feedback?

+ I resist direction, ignore feedback, and need reminders to complete tasks.

+ I follow direction with reminders and often need clarification or support.

+ I follow direction reliably, adjust to feedback, and complete tasks on time.

+ I adapt quickly, follow through, and help others adjust as needed.

10

ADi - 26: Accepting Direction - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

11

BST - 26: Building and Supporting Teams - How well do you work with others to achieve shared goals and contribute to a positive team environment?

+ I avoid teamwork, create conflict, or don’t contribute.

+ I contribute to team efforts with encouragement and guidance.

+ I work well with others, contribute consistently, and support the team.

+ I unite teams, build trust, and help others work through conflict.

12

BST - 26: Building and Supporting Teams - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

13

DE - 26: Displaying Expertise - How well do you apply subject-matter expertise to solve problems, share insights, and communicate effectively with others?

+ I struggle to explain basic concepts, apply subject-matter knowledge, or share accurate information.

+ I apply subject-matter knowledge in typical situations and communicate clearly with some guidance or support.

+ I use my subject-matter expertise to solve problems, explain concepts clearly, and tailor communication to different audiences.

+ I demonstrate deep subject-matter expertise, explain complex topics with clarity, and provide strategic insights that support broader goals.

14

DE - 26: Displaying Expertise - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

15

MAJ - 26: Making Accurate Judgments - How do you make decisions when faced with choices, risks, or limited information?

+ I make reactive or delayed decisions and sometimes overlook risks, priorities, or potential bias.

+ I try to weigh options but struggle when there’s uncertainty, competing priorities, or unclear outcomes.

+ I make timely, well-reasoned decisions by using available information, context, and trade-offs.

+ I make sound decisions in complex situations, lead others through ambiguity, and adapt as new information emerges.

16

MAJ - 26: Making Accurate Judgments - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

17

Please review your application one more time to confirm it is accurate and complete. We cannot consider prior work experience or other relevant information omitted from the application when evaluating your qualifications for employment. Did you list ALL your job experience and education on your application?

+ Yes

+ No

Required Question

Employer

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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