Risk Management Claims Specialist

Summary:

This position is responsible for high frequency, medium to low severity property and liability claims, including the efficient retention and transfer of claims, responding to third parties,  insurance  and legal representatives.

Responsibilities:

• Manage, obtain, and analyze investigative material and evidence for all occurrences assigned.

• Ensure the successful engagement, cooperation, participation, reporting, and effective completion of defense documentation with location managers and in support of other internal and external stakeholders.

• Review contractual agreements, case law, and policies for assessment and claims handling decision

• Examine strategies for claim response and recommend retention or transfer, denial, settlement.

• Settle, deny, transfer, escalate liability claims and build a defense file in preparation of litigation; provide necessary support to assigned adjusters and defense counsel.

• Settle claims with plaintiffs, insurers, adjusters, and third parties within specified authority from Manager.

• Substantiate and negotiate property claims working directly with at fault third parties or with the assigned third party administrators

• Educates Location Managers, on claim programs, policies, and procedures for: reporting, investigation; litigation management; resolution/outcome management; and the delivery of claim information.

• Ensure database integrity, accuracy with up to date details, reserves and claim status. 

• Supervises and leads, performance manages, the Claims Administrator

• Monitor and analyze resulting legal opinions, claims costs and exposures to identify trends and discover root causes

• Make recommendations on revised and new programs and procedures based on analysis. Involve implementation of new/revised programs. 

 Qualifications:

• College diploma or University studies

• 2 – 4 years liability, property claims working experience

• Presently working towards your CIP or CRM designation

• Intermediate skills in MS Office, Outlook, and database applications

• Excellent written and verbal communication skills

Metro values, respects and leverages the differences and competences of all employees from a variety of different backgrounds. We will consider all qualified applicants for employment.

Metro is committed to accommodating applicants and employees with disabilities.  Should you require an accommodation or wish to receive this application in an accessible format, please advise.