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- Claims Specialist, Sr
Description
The University of New Mexico, Department of Risk Services is seeking 2 (two) experienced professionals to coordinate, administer, and oversee its workers’ compensation, property, and casualty claims, and Return to Work (RTW) program. Working under minimal supervision, these roles ensure effective claims management while maintaining compliance with all applicable policies, procedures, regulations, and legislation. These positions serve as primary liaisons with external agencies, medical providers, legal counsel, and regulatory bodies, with emphasis on litigated claims.
The successful candidates will manage the full lifecycle of workers’ compensation and property and casualty claims, including investigation, liability determination, coverage verification, documentation, and resolution. These roles oversee litigated cases and may represent the University in mediations, hearings, settlement conferences, and trials. In addition, the position manages claims management information systems and ensures accurate organization, retention, and analysis of claims data.
A key responsibility for these roles is the oversight and coordination of the University’s Return to Work program. The incumbent collaborates with Human Resources, management, and other stakeholders to develop and implement effective return-to-work and modified duty strategies that support employee recovery and operational needs.
These positions also provide authoritative guidance to university leadership, faculty, and staff on workers’ compensation and property and casualty policies, loss control practices, and related legislation. Responsibilities include reviewing accident reports for accuracy and compliance, analyzing claims data, preparing reports, delivering training programs, and developing strategic recommendations to reduce the frequency and severity of losses.
Salary range is estimated, and actual salary will be determined after consideration of the selected candidate's experience and qualifications
Requirements
Bachelor's degree; at least 4 years of directly related experience in claims adjusting, investigations, litigation and/or risk management.
Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
Preferred Qualifications
More than 5 years of experience investigating and/or adjusting claims for workers compensation or general/employers' liability
Experience designing, establishing, implementing, and overseeing an employee return to work (RTW) program
Experience working for a public/government entity, particularly a university of hospital system
Bilingual (English/Spanish)
