Risk Management Coordinator

Location: City Hall-Human Resources, Pharr, TX 78577 Department: Human Resources Job Status: Full-Time Shift: 8:00 AM - 5:00 PM Days: Mon.
, Tue.
, Wed.
, Thu.
, Fri.
Hours Per Week: 40 Rate of Pay: $55,000.
00 - $55,000.
00 Status: Accepting and Reviewing Applications JOB DESCRIPTION General Statement of Duties Under the general supervision of the Human Resources Director, the Risk Management Coordinator is to manage the Safety, Workers Compensation, Insurances, ADA Compliance, Wellness Program and Employee Benefits for the City of Pharr.
Essential Functions The primary functions listed below are those that represent the majority of the time spent working in this class.
Management may assign additional functions related to the type of work of the class as necessary: • Research health insurance denials and/or provider billing problems for employees.
• Files appeals on behalf of employees.
• Reconciles all the monthly invoices for all the City's Insurance carriers; resolves discrepancies and updates the benefits administration system.
• Processes Workers Compensation Injury claims and follows employee treatments and progress; follows up with wage statements and supplemental reports if needed; reviews cases for fraudulent claims or abuse; tracks check to employees and submittal to the city.
• Maintains the City's benefits administration system which feeds to all our carriers.
• Delivers safety orientation for new employees.
• Implements new insurances and coordinates transitions between carriers.
• Organizes and implements Employee Health Fair.
• Prepares RFPs related to insurance changes, tabulates and prepares staff recommendations for City Commissioners to vote on.
• Answers employees’ questions on their benefits; assists them in filing claims and researches any payroll discrepancies.
• Processes weekly claims reports for the self-funded health insurance plan.
• Performs related work as assigned.
Supervisory Responsibility This position supervises the Benefits Specialist.
Physical Demands Must have the use of sensory skills in order to effectively communicate and interact with other employees and the public through the use of the telephone and personal contact and normally defined by the ability to see, read, talk, hear, handle, or feel objects and controls, Physical capability to effectively use and operate various items of office related equipment, such as, but not limited to, personal computer, calculator, copier, and fax machine Performs sedentary work that involves sitting most of the time but may involve walking or standing for brief periods of time; requires little or no dexterity.
The employee must on occasion lift and/or move up to 20 pounds.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position Type/Expected Hours of Work This is a full-time, position, with a 40-hour work week.
Incumbent must have the ability to work flexible hours including holidays, evenings, and weekends, if needed.
Participation in City sponsored special events, trainings, or meetings may be required.
Minimum Qualifications and Requirements High School Diploma or possession of an acceptable equivalency diploma (GED).
Requires a Bachelor's degree in Risk Management, Finance, Business Administration, or industry-related; area required.
Requires at least two years of experience in risk management administration, benefits or closely related field.
Must possess a valid (Class C) Texas Driver’s License and have an acceptable driving record.
Must pass drug screening and background check.
AAP/EEO Statement The City of Pharr is an Equal Opportunity Employer.
In compliance with the Americans with Disabilities Act (ADA) and the Americans with Disabilities Act Amendment Act (ADAAA) the City of Pharr will provide reasonable accommodations, upon reasonable request, to qualified individuals with disabilities and encourages both prospective employees and incumbents to discuss potential accommodations with the employer.
The city focuses on identifying candidates who are customer oriented and committed to public service to create a culture that is committed to diversity.
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.
BACKGROUND FORMS As part of our hiring procedures, you must successfully pass a background check.
Please complete the required forms and upload them with your application.
Failure to do so, may cause your application to be rejected.