Senior Claims Adjuster (Liability)

Responsibilities and Specific Duties

• Investigates and administers liability claims of varying complexity including, bodily injury, first party auto, third party auto, first party property, and general liability.
• Sets appropriate financial reserves and maintains adequate funding.
• Sets appropriate diary date schedule according to claim milestones.
• Takes recorded statements from involved parties and explains the Texas Tort Claims Act and procedures as needed.
• Requests indexing of all injured parties through Insurance Services Office (ISO) and confirms eligibility for benefits through Centers for Medicaid & Medicare Services (CMS).
• Requests damage appraisals, police reports, medical bills, medical reports and wage information.
• Reviews facts, establishes liability, evaluates damages and negotiates appropriate settlements within the authority granted based upon all known facts.
• Reports suspected fraudulent claim activities to the appropriate law enforcement agency, NICB or counsel for METRO.
• Maintains contact with all parties regarding claims (i.e., repair vendors, appraisal vendors, doctors, claimants, and attorneys).
• Coordinates investigation with Workers’ Compensation adjusters to avoid duplication of processes and subrogation pursuit.
• May be required to represent METRO at mediations, depositions, pretrial hearings and other legal proceedings as deemed appropriate.
• Provides any additional information requested by supervisors or lawyers relating to claims.
• Reviews claim files on a daily diary basis and pursues subrogation.
• Provides excellent customer service to METRO internal and external customers.
• Applies Safety Management System (SMS) methods and principles in daily routine and supports all aspects of the agency’s Public Transportation Agency Safety Plan (PTASP).
• Promotes safety awareness and follows safety procedures to reduce or eliminate accidents.
• Performs other job-related duties as assigned.

Pay Range: $70,700 - $92,800