CLAIMS ADJUSTER

WORK OBJECTIVE: This position is responsible for administrative and technical work in the investigation, negotiation and settlement of public liability, property damage, and bodily injury claims. An employee in this class is responsible for performing these functions within operational procedures that have been developed and has the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with attorneys, physicians, insurance companies, governmental agencies and the public. Assignments are generally broad in scope with frequent opportunities for exercising independent judgment in making claims management decisions subject to final review and approval by the Manager. ESSENTIAL FUNCTIONS: The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such duties are a logical assignment to the position. Evaluates and adjusts individual case approaches in concert with the Manger. Assist in maintaining a database to track and analyze claims data. Interviews claimants, witnesses and employees to secure sworn statements necessary to process claims. Assists in defense preparation with defense attorneys and various NFTA departments in litigation as needed. Assists in organizing and reviewing the investigation, negotiation and settlement of a variety of claims; reviews accident reports, losses and litigation claims; and provides intra-departmental personnel with technical advice and assistance. Investigates liability claims, no-fault claims, and other claims involving personal injury or property loss/damage; investigates scene of the accident, takes detailed statements from involved parties, photographs evidence to document investigation files, peruses video evidence, performs other research as necessary. Inspects damage to structure, motor vehicles, and heavy equipment; reviews repair estimates; reviews medical records and determines value of claim and coverage applicable; prepares a cost benefit analysis for settling claims. Represents NFTA in claim settlements; negotiates settlement claims up to an authorized limit or makes recommendations for settlement; attends arbitrations as necessary. Assists in processing all claims from initial report to final disposition and responds to all inquiries in a timely fashion. Prepares oral and written reports. Negotiates with individuals, insurance companies and attorneys to affect an equitable settlement, and collects subrogation monies. Confers with appropriate doctors, lawyers and insurance carriers. Serves as a contact for contracted adjusters, investigators and outside legal counsel. ESSENTIAL FUNCTIONS: The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such duties are a logical assignment to the position. Evaluates and adjusts individual case approaches in concert with the Manger. Assist in maintaining a database to track and analyze claims data. Interviews claimants, witnesses and employees to secure sworn statements necessary to process claims. Assists in defense preparation with defense attorneys and various NFTA departments in litigation as needed. Assists in organizing and reviewing the investigation, negotiation and settlement of a variety of claims; reviews accident reports, losses and litigation claims; and provides intra-departmental personnel with technical advice and assistance. Investigates liability claims, no-fault claims, and other claims involving personal injury or property loss/damage; investigates scene of the accident, takes detailed statements from involved parties, photographs evidence to document investigation files, peruses video evidence, performs other research as necessary. Inspects damage to structure, motor vehicles, and heavy equipment; reviews repair estimates; reviews medical records and determines value of claim and coverage applicable; prepares a cost benefit analysis for settling claims. Represents NFTA in claim settlements; negotiates settlement claims up to an authorized limit or makes recommendations for settlement; attends arbitrations as necessary. Assists in processing all claims from initial report to final disposition and responds to all inquiries in a timely fashion. Prepares oral and written reports. Negotiates with individuals, insurance companies and attorneys to affect an equitable settlement, and collects subrogation monies. Confers with appropriate doctors, lawyers and insurance carriers. Serves as a contact for contracted adjusters, investigators and outside legal counsel. KNOWLEDGE, SKILLS and ABILITIES: Knowledge of state insurance rules and regulations. Knowledge of medical and legal terminology. Knowledge of reference materials in the field of casualty and loss. Knowledge of laws relating to no-fault and negligence. Knowledge of claims investigation methods and techniques. Skilled in research techniques. Ability to communicate effectively, orally and in writing, with employees, defense and claimant counsel, doctors, judges and insurance carriers. Ability to establish and maintain effective working relationships with employees, the public, attorneys, and professional and private organizations. Ability to determine value of a claim and negotiate equitable settlements. Ability to prepare written reports. Ability to process claims and to respond to inquiries in a timely manner. Ability to read and understand estimates and medical reports and records. KNOWLEDGE, SKILLS and ABILITIES: Knowledge of state insurance rules and regulations. Knowledge of medical and legal terminology. Knowledge of reference materials in the field of casualty and loss. Knowledge of laws relating to no-fault and negligence. Knowledge of claims investigation methods and techniques. Skilled in research techniques. Ability to communicate effectively, orally and in writing, with employees, defense and claimant counsel, doctors, judges and insurance carriers. Ability to establish and maintain effective working relationships with employees, the public, attorneys, and professional and private organizations. Ability to determine value of a claim and negotiate equitable settlements. Ability to prepare written reports. Ability to process claims and to respond to inquiries in a timely manner. Ability to read and understand estimates and medical reports and records. PHYSICAL REQUIREMENTS: Tasks involve the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5-10 pounds). PHYSICAL REQUIREMENTS: Tasks involve the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5-10 pounds). ENVIRONMENTAL REQUIREMENTS: Work is performed in both usual office conditions and in the field. ENVIRONMENTAL REQUIREMENTS: Work is performed in both usual office conditions and in the field. MINIMUM QUALIFICATIONS: A Bachelor’s degree and five (5) years professional experience in claims, or an equivalent combination of related education, training, and experience. A valid New York State driver’s license and ability to obtain a Notary license. MINIMUM QUALIFICATIONS: A Bachelor’s degree and five (5) years professional experience in claims, or an equivalent combination of related education, training, and experience. A valid New York State driver’s license and ability to obtain a Notary license. OTHER: The Niagara Frontier Transportation Authority is an Equal Opportunity EmployerAll people with disabilities are encouraged to apply OTHER: The Niagara Frontier Transportation Authority is an Equal Opportunity EmployerAll people with disabilities are encouraged to apply #J-18808-Ljbffr