Claims Supervisor - San Diego, United States - San Diego Metropolitan Transit System (MTS)

Description

Advertised Title: Claims Supervisor

Internal Title: Liability Claims Supervisor

The Liability Claims Supervisor provides complete, professional liability-claims adjusting services on claims, accidents or incidents that may result in the submission of a claim. The Liability Claims Supervisor also conducts accident investigations, identifies liability trends, and participates in the development of the liability self‐insurance program budget. Additionally, the Liability Claims Supervisor directs the Claims Specialist and represents MTS in court on litigated claims.

MTS offers competitive benefits including, but not limited to, health, dental, and vision for you and your family, vacation and sick time, retirement plans, and wellness programs. Here are some additional perks & benefits

• Employer paid holidays (up to 12 per year)
• FREE transit pass for you and your family
• On site gym & gym membership reimbursement
• Walk, run and/or bike event reimbursement
• Employer paid bereavement leave and jury duty
• Tuition reimbursement
• Public loan forgiveness
• Paid company training & development opportunities
• & much, much more

EXAMPLE OF DUTIES:

Essential Functions

• Represents MTS in all matters related to the receipt, investigation, adjustment, processing and resolution of liability claims.
• Responds to serious MTS accident scenes and conducts accident investigations to assist in the determination of the degree of liability or negligence on the part of MTS.
• Documents accident scenes through photography, diagrams and measurements as needed.
• Takes statements of claimants, employees and witnesses.
• Verifies physical and property damages at accident sites and corresponds with attorneys, physicians and outside experts to assist in claims evaluation, as appropriate.
• Obtains police reports, medical examiner reports, contracts, agreements and other information to support liability or indemnification decisions.
• Approves and rejects claims in conformity with established government codes and MTS policies and procedures.
• Negotiates settlements of bodily-injury and property-damage claims with claimants, attorneys and insurance carriers with approval and authority from Manager of Risk & Claims, General Counsel or the MTS Board of Directors.
• Reviews claims data and signed declarations used in court and represents MTS in court on litigated claims, as required. Reviews discovery respones and signs verifications.
• Prepares litigation status reports that outline facts, liability, action plans and recommendations.
• Supervises, directs and trains the Claims Specialist.
• Assists in the identification of claim trends or liability-risk exposures subject to loss.
• Investigates and explores subrogation-recovery possibilities and prepares collection demands.
• Establishes, monitors and periodically adjusts claim-reserve amounts.
• Reviews claims filed against MTS and MTS accident reports involving potential third‐party liability and adjusts third‐party liability claims in an efficient and cost‐effective manner.
• Maintains a comprehensive, well‐documented claim file and database of liability claims, incidents and related activities.
• Creates and continuously updates a calendar of open claims.
• Obtains proof-of-loss documents and executes MTS releases and other legal documents, as required or directed.
• Participates in the development of the liability self‐insurance program budget, claims procedural manual and control standards.
• Provides recommendations to the Manager of Risk & Claims regarding strategies for controlling and minimizing liability risks.

Duties May Include, But Are Not Limited To, The Following:

• Performs other duties as required.

QUALIFICATIONS:

Knowledge, Skills and Abilities

Knowledge of or ability to learn MTS policies and regulations, ability to read, understand and apply MTS policies, regulations and union labor contracts; ability to write letters, memoranda and reports using clear, concise and grammatically correct English; ability to speak clearly, distinctly and effectively in person-to-person or small group situations using tact and diplomacy; ability to coordinate and initiate actions necessary to implement decisions and delegate responsibilities to appropriate personnel; ability to establish and maintain priorities in order to complete assignments by deadlines without detailed instructions; skill in effectively supervising subordinates in order to achieve company goals; skill in verifying the accuracy and completeness of forms and reports; working knowledge of the Microsoft Office Suite, as well as the ability to learn and use other software that MTS might have or acquire; ability to regularly exercise discretion and independent judgment within claims management guidelines, as specified in local, state and federal government codes and regulations; ability to make sound decisions consistent with MTS values, behaviors, policies and procedures; ability to conduct liability field-site investigations and prepare relevant information for use in claims adjusting, mediation and litigation; extensive technical knowledge of liability-claims adjustment principles and investigation and settlement techniques; ability to effectively present information and respond to questions from groups, managers, customers and the general public; ability to represent MTS in a positive way while working with the public; sound working knowledge of the California Civil Justice System, Government Code as it relates to claims against public entities, medical terminology, casualty insurance and personal injury evaluations.

Experience/Education/Certificates/License(s)

Possess an associate's or bachelor's degree from an accredited university in risk management or related field, with at least five years of recent and extensive public agency liability claims administration experience with accident investigation or loss control. Requisite knowledge, skills and abilities may be substituted for the degree requirement. Must possess and maintain a valid California Driver's License. Bilingual in English and Spanish is preferred, but not required.

GENERAL:

Must satisfactorily pass all applicable examinations including, but not limited to, a pre-employment physical, drug screen and background check.

SALARY GRADE: #8 ($56,557 - $115,023)

HIRING RANGE: $80,000 - $100,000

DISCLAIMER: The above described job elements are intended to indicate the general nature and levels of work being performed by employees assigned to the job. They are not intended to be an exhaustive list of duties, responsibilities and skills required of employees so classified. Management retains the discretion to add to or change the duties of the position at any time.