LOS ANGELES COMMUNITY COLLEGE DISTRICT
PERSONNEL COMMISSION
CLASS SPECIFICATION
CLASS CODE 5066
INSURANCE CLAIMS SPECIALIST
DEFINITION
Performs a variety of complex journey-level professional staff work related to the administration of the
District’s insurance claims program.
TYPICAL DUTIES
Performs a variety of professional technical and advisory work related to the administration of the
District’s insurance claims program which includes property, liability, and student insurance
claims.
Investigates District insurance claims and approves or denies payments up to established limits.
Audits outside insurance claims administration firms and outside vendors such as insurance brokers,
defense counsels, investigation firms, and certificate tracking firms.
Attends meetings, depositions, settlement conferences, mediations, hearings, and trials.
Makes recommendations regarding settlement and disposition of insurance claims.
Researches, interviews, and makes recommendations regarding the use and selection of outside
vendors such as insurance brokers, defense counsels, claims administration firms, investigation
firms, and certificate tracking firms.
Reviews insurance and indemnification language on contracts and recommends amendments to ensure
the protection of the District.
Assists in the development of specifications for the procurement of insurance.
Assists in the development and implementation of policies, regulations, rules, and practices regarding
the administration of insurance claims.
Provides information, guidance, advice, and policy interpretation to District employees on insurance
related matters.
Utilizes the capabilities of management information systems related to insurance programs.
Prepares Board of Trustees reports and letters for settled claims.
Prepares a monthly status report of open and closed property and liability insurance claims.
Plans, schedules and conducts in-service workshops on insurance related issues.
Develops information packages, instructions, and brochures related to insurance issues.
Maintains the District’s Department of Motor Vehicle program that monitors the eligibility of
employees to operate District vehicles.
May supervise the work of assigned staff.
Performs related duties as assigned.
DISTINGUISHING CHARACTERISTICS
An Insurance Claims Specialist performs a variety of professional-level staff work related to the
administration of the District’s insurance claims program.
A Risk Manager develops, implements, and administers risk management programs designed to
minimize losses and to assure the efficient and economical operations of the District’s liability,
workers’ compensation, occupational health and safety and loss control programs.
INSURANCE CLAIMS SPECIALIST
4/30/13
DISTINGUISHING CHARACTERISTICS (Cont.)
A Workers’ Compensation Claims Specialist performs a variety of professional-level staff work
related to the administration of the District’s workers’ compensation claims program.
An Employee Benefits Specialist administers the day-to-day operational activities of the employee
benefits program of the District; assists in reviewing, selecting, and negotiating benefits plans, vendors,
and carriers and serves as a resource person to the Joint Labor Management Benefits Committee.
SUPERVISION
General supervision is received from a classified manager or administrator. May exercise immediate
supervision over assigned staff.
CLASS QUALIFICATIONS
Knowledge of:
Principles and practices of property, casualty, and liability insurance
Practices and procedures pertinent to insurance claims administration
Policies and business practices of the insurance industry
Sections of the California Education and Government Code pertaining to liability and self insurance
Sections of the California Insurance Code pertinent to insurance claims
Principles of underwriting, claims management, safety, and risk management
Literature, periodicals, and other source materials pertaining to current trends in insurance claims
administration
Principles and procedures of budgeting
Basic principles and methods of statistical analysis, prediction and presentation
Organization and management of records
Principles and practices of business and public administration
Capabilities of computer systems, software, and hardware used in the insurance claims administration
field
Principles of training
Ability to:
Perform complex professional staff work related to the administration of an insurance claims program
Understand, interpret, analyze and apply laws, rules, regulations and policies pertinent to assigned area
Work effectively and tactfully with all levels of personnel in the District and representatives of
contractors and other public agencies
Write clear, comprehensive, and accurate reports and correspondence
Make clear, concise, and effective oral and written presentations
Identify insurance program needs and alternatives, and makes recommendations on modifications and
improvements as needed
Collect, analyze, interpret, and evaluate data, draw sound conclusions, and make recommendations
Cope with novel and difficult problems
INSURANCE CLAIMS SPECIALIST
4/30/13
Ability to: (Cont.)
Organize work to meet critical deadlines
Plan, schedule, coordinate, and conduct in-service workshops, seminars and conferences
Develop informational packages, instructions and brochures relating to insurance
Provides technical assistance and guidance to others
Learn specialized computer applications
ENTRANCE QUALIFICATIONS
Education:
Graduation from a recognized four-year college or university preferably with a degree in insurance
management, risk management, public administration, business administration, or a related field.
Experience:
Three years of full-time paid professional-level experience related to the administration of an
insurance claims program for a large employer.
Possession of a valid Chartered Property and Casualty Underwriter (CPCU) designation issued by
the American Institute For Chartered Property Casualty Underwriters is desirable.
Special:
A valid Class “C” California driver’s license.
Travel throughout the District may be required.
New
INSURANCE CLAIMS SPECIALIST
4/30/13