Claims Specialist

San Diego Metropolitan Transit System (MTS); San Diego (CA); On-site; USD 66,000 - 79,000; Full time

Benefits offered by this job

Free transit pass for you and yourfam

On-site gym and gym membership

Tuition reimbursement

Company-paid training

Public Service Loan Forgiveness

Job summary

San Diego Metropolitan Transit System (MTS) is seeking a Claims Specialist to support liability, workers’ compensation, and risk & claims operations. You will manage claim files, assign case numbers, and input data into SAP and MTS databases, while preparing reports and handling invoices.

Key duties include adjusting property damage and bodily injury claims, maintaining documentation, and generating quarterly management reports. Strong Excel/Word skills and familiarity with SAP are essential.

Qualifications

• Knowledge of MTS policies and regulations and ability to apply them.
• Ability to write clear letters, memoranda and reports in English.
• Ability to learn and use SAP and ERP software for claims management.
• At least three years of liability, subrogation and/or workers’ compensation claims administration experience.

Responsibilities

• Adjust property damage claims and assist in adjusting bodily injury claims.
• Assign case numbers and establish claims files.
• Maintain comprehensive claim files and claim database records.
• Prepare and maintain Excel spreadsheets and management reports.
• Create purchase requisitions and process invoices for Risk & Claims.
• Prepare PowerPoint presentations for internal/external audiences.
• Ensure deadlines and data accuracy across communications and reports.
• Support other team members and act as backup liaison for supervisors.

Skills

MTS policies and regulations

Union labor contracts

English writing (letters, memos, and 〉

Excel and data management

SAP and ERP systems

discretion and independent judgment

claims management knowledge

Education

Associate or bachelor’s degree in risk management or related field

Tools

SAP

ERP systems

Microsoft Word

Microsoft Excel

Job description

The Claims Specialist completes a variety of complex tasks and projects for the Liability Claims Supervisor, Workers’ Compensation Analyst, and Manager of Risk & Claims. Under the direction of the Liability Claims Supervisor, the Claims Specialist maintains and updates claim files, assigns case numbers, and enters data into SAP and the MTS claims database. Additionally, the Claims Specialist assists in adjusting property damage and non-represented bodily injury claims, as well as processing and following up on all subrogation demands. The position is also responsible for creating and updating numerous reports and spreadsheets, and processing purchase requisitions and invoices for the Risk & Claims Department.

Example Of Duties

Essential Functions

• Adjusts property damage claims from start to finish and assists Liability Claims Supervisor in adjusting bodily injury claims.
• Assigns case numbers to claims and establishes claims files.
• Maintains and updates comprehensive, well‑documented claim files, as well as a database of liability claims, incidents and related activities.
• Receives inquiries, incidents and claims from the general public and internal staff via telephone and electronic media.
• Creates and maintains Excel spreadsheets and other reports for liability and workers’ compensation data for internal management, insurance underwriters, actuaries, financial auditors, quarterly divisional claim review meetings, and the department’s performance incentive plan results.
• Generates quarterly reports for the General Counsel and Manager of Risk & Claims depicting Agency-wide legal fees and costs and liability claim payouts.
• Creates purchase requisitions and processes numerous invoices for payment for the Risk & Claims Department.
• Ensures that correspondence and report deadlines are met and that all information distributed is accurate and complete.
• Schedules meetings, checks availability of internal and external parties for proposed meetings, reserves facilities and prepares meeting venues with all necessary equipment and documents.
• Acts as backup contact for Liability Claims Supervisor.
• Acts as backup Agency representative for small claims court actions.
• Acts as backup contact for the Workers’ Compensation Analyst and assists the Workers’ Compensation Analyst with tasks and projects.
• Prepares various PowerPoint presentations for internal and external audiences.
• Maintains, archives, stores, and destroys all claim files (per the requirements of local, state and federal regulations).

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

• Performs other duties as assigned.

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 verifying the accuracy and completeness of forms and reports; knowledge of Microsoft Word, Excel, ERP (SAP) Systems and 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 prepare relevant information for use in claims adjusting, mediation and litigation; some knowledge of liability-claims adjustment principles along with life of the claim handling processes; 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.

Physical Requirements

The successful candidate must be able to fulfill the physical demands of the job such as walking, stooping, sitting, bending, reaching for overhead files and occasional lifting (must be able to lift up to 15 pounds). Must be able to operate a motor vehicle and perform tasks involving manual dexterity, such as use of a computer and 10-key. Work will at times require more than 8 hours per day or an irregular work week to perform the essential duties of the position. Duties will be performed primarily in an office type environment and may require travel to external locations and agencies.

Experience/Education/Certificates/Licenses

Possess an associate’s or bachelor’s degree from an accredited college or university in risk management or a related field, along with at least three years of experience in liability, subrogation and/or workers’ compensation claims administration, as well as general administrative support experience. Public agency experience is preferred but not required. Relevant knowledge, skills and abilities may be substituted for the degree requirement. Must possess and maintain a valid California Driver License or be able to utilize alternative transportation when needed to perform job‑related essential functions. Bilingual in English and Spanish is preferred but not required.

General

Must satisfactorily pass all applicable post‑offer examinations, including but not limited to a pre‑employment physical conducted by an independent medical provider, a comprehensive criminal background and credit check, and, when applicable, a pre‑employment drug test as required by MTS Board Policy 35.

Compensation

Anticipated Hiring Range: $66,000 – $79,000

Salary Grade: 7 ($65,822 – $93,468)

The Anticipated Hiring Range reflects the expected starting salary for this position. Actual starting pay will be determined based on factors such as the successful candidate's qualifications, directly related experience, knowledge, skills, and abilities, as well as internal equity, market conditions, and budget considerations. Candidates whose salary expectations fall outside of the anticipated hiring range are still encouraged to apply.

The Salary Grade reflects the maximum earning potential for employees in this position over time. Salary growth within the grade is based on factors such as experience, performance, market adjustments, and other relevant factors. Salary grades are typically reviewed and adjusted annually to remain market competitive.

MTS offers competitive benefits including, but not limited to, medical, dental, and vision coverage for employees and eligible dependents, paid time off, retirement plans, and wellness programs.

Benefits

Additionalperksand benefits include:

• Up to 13 employer-paid days off per year, including 3 floating days
• Free transit pass for you and your family
• On-site gym and gym membership reimbursement
• Walk, run, and bike event reimbursement
• Employer-paid bereavementleaveand jury duty
• Tuition reimbursement
• Public Service Loan Forgiveness eligibility
• Company-paid training and professional development opportunities
• And much more!

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.