An intermediate‑level claims‑handling position responsible for managing, investigating, and resolving claims involving minor property damage and more complex bodily injury claims filed against the MTA. The role works under general supervision from the Claims Supervisor or other designated officials.
REQUIRED Education & Experience:
• Bachelor’s degree from an accredited college or university and one (1) year of experience; or
• High school diploma/equivalency and three (3) years of experience investigating, settling, and handling automobile property damage, bodily injury, and general liability claims.
• Investigative background and foundational claims‑handling experience
Responsibilities:
- Manages a caseload of approximately 150–175 individual claim files with multiple claimants arising out of MTA operations.
Assigned claims typically involve property damage and bodily injury matters with reserves of $25,000 or less.Evaluate policy coverage, contact insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements. - Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability, compensability, and extent of damages.
- Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes, and documents results of contacts, relevant medical reports and duration information per file posting standards.
- Determine need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers.
- Evaluate claim for potential fraud.
- Assess actual damages associated with claims and conduct negotiations to settle claims.
- Handle all legal liability, lawsuits and litigation matters.
Qualifications:
- Ability to communicate effectively with individuals from all backgrounds and uphold our high standard of customer service.
- Thorough knowledge of insurance coverages, contracts, claims handling guidelines, legal and medical terminology.
- Experience with homeowner liability and auto liability encompassing injury and property damage losses.
- Experience with litigated claims.
- Ability to analyze information, such as medical records and legal documentation.
- Negotiation and settlement skills.
- Bachelors’ degree preferred, continuing insurance education desired.
- Hard work, honesty, integrity and unwavering business ethics.
- Detail-oriented organizational skills in a multi-tasking environment.
- Success driven individual who has demonstrated success in a claims adjusting role.