Coordinator, Claims

SALARY

$87,515.60

POSITION SUMMARY

Under general supervision, initiates, conducts, coordinates, and supervises all aspects of the accident investigation and claims resolution processes for bodily injury, property damage and subrogation claims filed against or on behalf of the Authority.

PRIMARY RESPONSIBILITIES

* Initiates, conducts, coordinates, and supervises all aspects of the accident investigation and claims resolution processes as well as the activities of the claims staff.

o Conducts investigations of Authority accidents through on-site inspections of accident scenes and vehicles: identifies and interviews witnesses, Authority operators, and other personnel; reviews reports from Authority, police, ambulance, and other sources; reviews incident video, medical records and bills, and other relevant evidence to determine exposure.

o Identifies meritorious claims, analyzes supporting documentation for both liability and damages, and negotiates with claimants and/or their attorneys in an attempt to resolve meritorious claims prior to litigation.

o Assigns claims to staff and actively monitors the investigation, liability determinations, and resolution of meritorious claims.

o Reviews claim settlement authorizations and reports completed by staff for completeness and appropriateness of recommendations.

o Trains staff on new and revised claims-related policies and procedures.

* Identifies and reviews meritorious claims with claims representatives. Participates in determining the Authority's liability exposure relative to claims. Takes appropriate action to resolve meritorious claims prior to litigation and to close non-meritorious claims.

* Reviews daily reports submitted by Control Center, garages, terminals, and individuals to determine the appropriate action needed.

* Authorizes claims representatives to make settlements for amounts within authorized limits and reject claims when insufficient evidence of Authority liability is shown.

* Reviews settled claims to ensure payments and settlements were made in accordance with established practices and procedures. Analyzes data utilized in settling cases to determine the validity of data and data sources. Reviews litigated claim files to ensure completeness and appropriateness of disposition as a claim.

* Prepares regular status reports concerning the production and disposition of assigned cases.

* Provides 24 hour on call duty support at set intervals to conduct on-site accident investigations and respond to major incidents.

* Performs related duties as assigned.

MANAGEMENT RESPONSIBILITIES

Reporting to this position are the following jobs:

Job Title

* Claim Representatives

* Video Specialists

* Project Specialist

* Accident Clerk

* Utility Clerk

* Data Entry Clerk

CHALLENGES

* Handling tight deadlines and competing priorities while handling claims to avoid lawsuits.

EDUCATION/EXPERIENCE REQUIREMENTS

* Bachelor's degree in Business Administration or a related field, plus two (2) years of experience in law or claims management, or a combination of education and experience relating to the position.

* Valid State of Illinois Driver's License and an automobile to conduct business relative to claims work. Must meet automobile insurance requirements as set forth by the Authority.

PHYSICAL REQUIREMENTS

* Requires sitting for extended periods of time, standing, visual acumen, manual dexterity, and fingering for working with computer keyboards.

* Service Area Requirement: Exempt (Non-Union) employees must live within the boundaries of the CTA Statutory Service Area either at the time of employment or within 6 months of beginning employment at CTA.

KNOWLEDGE, SKILLS, AND ABILITIES

* Working knowledge of the practices and methods in processing, investigating, evaluating, negotiating and settling of claims involving vehicle damage non-auto property damage, bodily injury and subrogation.

* Working knowledge in the practices and methods of conducting and coordinating comprehensive confidential investigations in all types of bodily injury and property damage claims.

* Working knowledge of the practices and methods in negotiating settlements with attorneys and claimants.

* Working knowledge of the evidence needed to support the settlement of property damage and personal injury claims.

* Working knowledge of the practices and methods of conducting interviews, taking telephone reports, and statements from Authority personnel and/or the general public relative to accidents and claims including catastrophic loss personal injury and property damage.

* General knowledge of the major component parts of buses and automobiles.

* General knowledge of the Chicago metropolitan area in order to identify geographic locations.

* Strong computer skills.

* Strong Microsoft Suite skills.

* Strong analytical and critical thinking skills.

* Good oral and written communication skills.

* Ability to identify complex problems and review related information to develop and evaluate options and recommend solutions.

* Ability to exercise independent discretion and make rational business decisions in taking into account the risks of exposure to the Authority and its employees and the objective of prudent management of Authority resources and operating revenue.

* Ability to review and interpret medical records, reports, and data in all types of bodily injury and property damage claims, including catastrophic losses..

WORKING CONDITIONS

* General office environment.

* Required to travel to various locations for special field investigations.

* Subject to normal field hazards and weather conditions when conducting field investigations.

* On call 24 hours a day at set intervals to investigate accidents on site within the CTA service area.

* Must carry a Blackberry 24 hours a day/7 days a week and must be available to be contacted by CTA personnel via Blackberry.

EQUIPMENT, TOOLS, AND MATERIALS UTILIZED

* Standard office equipment.

* Personal computer and related software.

* Digital camera, cellular telephone, two-way radio, and Blackberry.