Director, Claims Investigations and Adjustments

Metropolitan Transportation Authority (MTA); New York (NY); Hybrid; USD 150,000 - 165,000; Full time

Job summary

An established industry player seeks a Director for Claims Investigations and Adjustments to lead a dynamic team in managing personal injury and property damage claims. This pivotal role involves overseeing investigations, negotiations, and the development of staff in a fast-paced environment. The incumbent will contribute to minimizing financial risks and ensuring claims are settled efficiently. If you're looking to make a significant impact in a vital sector, this opportunity offers a rewarding career path with the potential for growth and development in a supportive atmosphere.

Qualifications

• 10+ years of experience in liability claims management with supervisory experience.
• Strong knowledge of Torts Negligence Law and medical documentation.

Responsibilities

• Manage a team handling 300 new claims monthly, ensuring timely investigations.
• Develop procedures for claims management and oversee training programs.

Skills

Claims Processing

Analytical Skills

Negotiation Skills

Presentation Skills

Interpersonal Communication

Written Communication

Education

Baccalaureate from an accredited college

Equivalent combination of education and experience

Tools

Computer Skills

Job description

Director, Claims Investigations and Adjustments

Job ID: 9838

Business Unit: MTA Headquarters

Location: Brooklyn, NY, United States

Regular/Temporary: Regular

Department: Torts

Date Posted: Jan 30, 2025

Description

JOB TITLE : Director, Claims Investigations and Adjustments

SALARY RANGE : $150,000 – $165,000

HAY POINTS : 994

DEPT/DIV: Legal and Compliance

SUPERVISOR: Deputy General Counsel - Torts

LOCATION : 130 Livingston Street

HOURS OF WORK : 9:00 am - 5:30 pm (7 1/2 hours/day)

This position is eligible for telework which is currently one day per week. New hires are eligible to apply 30 days after their effective date of hire.

SUMMARY:

This position reports to the Deputy General Counsel who heads the Law Department’s Torts Tower practice area which handles roughly 13,000 personal injury and property damage claims and lawsuits per year and pays approximately $150 million to claimants and plaintiffs annually. The incumbent heads the Torts Tower’s Claims Unit and will personally handle and is responsible for managing 35+ personnel that handle the investigation, adjustment and/or preparation of defense of existing as well as each of the 300 new claims received in Torts monthly to ensure all claims brought against the Authorities are reasonably settled and timely and properly investigated to its conclusion to minimize the financial risks of loss.

RESPONSIBILITIES:

• Responsible for analyzing notices of claims, making appropriate investigative assignments to claims managers and/or outside vendors, reserving claims, evaluating medical records and working with the Significant Litigation Unit to determine the course of the investigations on high exposure cases. Act as a liaison with outside counsel and investigation unit to obtain documents and witnesses from MTA internal departments.
• Develop and oversee the implementation of procedures to identify overdue staff assignments and track completions. Implement policies and procedures designed to improve claims investigations and ensure investigation assignments are appropriate, thorough and completed timely.
• Identify and participate, as required, in authorizing and negotiating the settlement of cases with exposure over $50k. Prepare internal reports as needed.
• Develop and implement ongoing training programs for claims management and non-managerial staff in areas relevant to their performance. Direct staff activities, provide technical assistance and guidance and structure assignments to foster the development of skills.
• Responsible for acting as a liaison between MTA operations department and legal staff to coordinate the timely production of internal reports, production of witnesses for pre-trial and trial testimony, and oversee site inspections. Monitor major injury accidents and coordinate immediate investigations.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Extensive experience in claims processing and management; proven ability to interface with senior managers, staff and counsel of agency, MTA affiliates and external organizations.
• Strong analytical, negotiation and presentation skills. Excellent interpersonal, oral and written communication skills.
• Extensive knowledge of Torts Negligence Law, settlement negotiation, medical documentation skills and good computer skills.
• Must have knowledge of NYCT bus and subway operations.

EDUCATION AND EXPERIENCE: REQUIRED

• Baccalaureate from an accredited college. An equivalent combination of education and experience from an accredited college may be considered in lieu of a degree.
• Ten years of experience in liability claims, investigation, and adjustment of which five years must have been in a supervisory capacity or a satisfactory equivalent of education and experience.

OTHER INFORMATION:

Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission").

MTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities.

The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.