Supervisory level claims handling staff manages, investigates, and resolves operation liability
claims asserted against the Agency. Supervises the TPA claims adjusting staff of Claims
Representatives. Must have management experience in handling tort, property/casualty, general
liability, and subrogation claims.
Responsibilities
• Responsible for completing monthly claims suits on the current open
caseload assigned to the individual adjusters;
• Supervisor audits are to be conducted on at least three (3) individual claims
files (open or closed) for each individual adjuster monthly;
• The result of the audit will be provided to the MTA TIG Management for
review;
• Each individual Adjuster assigned to the supervisor’s units are required to
manage an open pending of approximately 150-175 claims files;
• Confirm investigation is being completed in a timely manner and
documented, Daily Diary is completed, reserves are accurate, subrogation
recovery has been obtained, and authority is properly obtained;
• Review the recommendation and evaluation of claims adjusters for denial or
settlement and determine if denials are appropriate based on a review of the
physical claim files;
• Approves or denies all check requests in accordance with the TIG Claims
Manual;
• Review and monitor claims files to confirm that if additional authority is
warranted above the claims Adjusters and/or supervisor written
authorization, it is requested timely and in accordance with the TIG Claims
Manual;
• Handle complaint calls when claimants are not satisfied with the services of
TPA staff;
• Conducts performance evaluations and tracks leave, lateness, and vacation
of claims personnel;
• Documents first reports and handles the caseload of claims personnel
assigned to their unit in their absence;
• Meets with the claims personnel to discuss courses of actions and answer
any questions the claims personnel may have and provide written instruction
to claims personnel on how claims investigation should be performed;
• Ensure that Defense Counsel has the necessary investigation information for
the defense of cases and ensure Defense Counsel has authority if MTA TIG
Management determines negotiations should be handled by counsel or TPA
staff;
• It is the responsibility of the TPA Claims Supervisor to ensure that the
Claims Adjuster assigned to a TIG claim file, obtains the necessary authority
and informs Defense Counsel of any authority level as to negotiate any
possible settlement, if it has been determined that the claim will be settled
by counsel;
• Obtains the legal advice of Defense Counsel pertaining to the claims file;
• Communicates and corresponds with claimant, witnesses, operators,
insurance companies, and other individuals as necessary to gather
information or evidence to determine damages of liability of claims;
• Negotiate and authorize the settlement of claims with the claimants or their
representatives, attends and testifies at litigation hearings, depositions and
trials, takes recorded statements from claimants, witnesses and develop an
accurate account of the incident;
• The new losses assigned are forwarded to the Claims Supervisor to complete
the initial claim file form and then forward to Claims Assistants for
processing;
• Confirmation of the number of new losses assigned is sent via email;
• In the absence of the MTA TIG Management and only at the direction of the
MTA TIG Management, the Claims Supervisor or designee will be required
to assign the daily claims files, complete the initial claim file form, and
forward to Claims Assistants for processing;
• A copy of the cover letter will be forwarded to the MTA TIG Management
for their records and to confirm completion of the task;
• The Claims Supervisor may be required to manage a minimal personal
caseload of operations liability claims against MTA. The claim files will
consist of the more serious exposure bodily injury, property damage
including fatality, and wrongful death claims;
• Ensure that the TPA staff are adhering to all policies in the MTA Claims
Manual and TIG policies and procedures during monthly review/audits of
the claim files; and
• This position is also responsible for any other duty or task that would be
required in order to meet the performance requirement of the job.
Education and Experience
Bachelors’ Degree from an accredited college or university and five (5) years of experience.
Graduation from a standard high school or possession of a high school equivalency certificate
and eight (8) years of experience in investigating, settling and handling automobile property
damage, bodily injury and general liability claims. Applicants may substitute the designation as
a CPCU (Chartered Property Casualty Underwriter) or an AIC (Associate in Claims) from the
Insurance Institute of America or designation as a CLA (Claims Law Associate) from the
American Educational Institute for one-year of required experience. Knowledge of Maryland statutory and case law with respect to tort, property/casualty, general liability, and subrogation
claims.
Full-time role
Monday-Friday, standard business hours
Work is on-site.
Principals only. Recruiters, please don't contact this job poster.