State of Maryland

CASUALTY CLAIMS ADJUSTER, LEAD (#003274)

- Hourly / - BiWeekly /
- Monthly / $42,186.00-$67,144.00 Yearly


GRADE

15

CLASS ATTRIBUTES

SKILLED SERVICE         BARGAINING UNIT: X           

NATURE OF WORK

A Casualty Claims Adjuster, Lead is the lead level of work handling all first and third party claims, making liability decisions regarding third party claims and conducting investigations in the Maryland State Treasurer’s Office.  Employees in this classification assign, review and approve the work of and train lower-level Casualty Claims Adjusters.

Employees receive general supervision from a Casualty Claims Adjuster, Supervisor.

Positions in this classification are evaluated by using the classification job evaluation methodology. The use of this method involves comparing the assigned duties and responsibilities of a position to the job criteria found in the Nature of Work and Examples of Work sections of the class specification.

The Casualty Claims Adjuster, Lead is differentiated from Casualty Claims Adjuster II in that the Casualty Claims Adjuster II Lead assigns, reviews and approves the work of and trains lower-level Casualty Claims Adjusters and provides in-depth investigations and handling of the more difficult, complicated and sensitive claims while the Casualty Claims Adjuster II performs the full range of duties and responsibilities under general supervision. The Casualty Claims Adjuster, Lead is differentiated from the Casualty Claims Adjuster, Supervisor in that the Casualty Claims Adjuster, Supervisor has full supervisory responsibility for lower-level Casualty Claims Adjusters.

EXAMPLES OF WORK

Assigns and reviews the work of lower-level Casualty Claims Adjusters;

Provides advice and guidance to lower-level Casualty Claims Adjusters;

Assists in training lower-level Casualty Claims Adjusters;

Handles all first party, automobile, subrogation and general liability claims, including claims that are in litigation;

Provides in-depth investigations and handling of the more difficult, complicated and sensitive claims;

Performs on-site inspections when necessary; Investigates and handles all types of claims;

Incorporates all reports and information gathered from various parties and agencies in order to make sound liability decisions;

Monitors claims that are in litigation;

Estimates settlement of claims;

Negotiates settlements with claimants, attorneys and trade people;

Maintains an accurate diary in order to monitor all claims assigned;

Performs other related duties.

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge of the Maryland Tort Claims Act;

Knowledge of claims handling and investigative techniques;

Knowledge of basic insurance, legal and medical terminology;

Skill in the use of personal computers and related software;

Ability to read and understand insurance, legal and medical terminology;

Ability to interpret the Insurance Contract;

Ability to make thorough investigations of all claims;

Ability to negotiate settlements with claimants, attorneys and trade people;

Ability to prepare and maintain accurate records;

Ability to handle difficult problems under frequently changing situations;

Ability to establish and maintain effective working relationships with co-workers of the Insurance Division, staff of other State agencies and the general public;

Ability to organize and complete work assignments;

Ability to assign and review the work of lower level Casualty Claims Adjusters;

Ability to communicate effectively.

MINIMUM QUALIFICATIONS

Education:   Graduation from an accredited high school or possession of a high school equivalency certificate. \

Experience: Five years of experience in settling multi-line claims, including one year in a commercial insurance or public sector environment.

Notes:

1. Candidates may substitute education at an accredited college or university, at a rate of thirty credit hours for one year of experience for up to two years of the required experience.

2. Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer in claims assistance and examining classification or claims assistance and examining specialty codes in the legal and kindred field of work on a year-for-year basis for the required experience.

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator's license valid in the State of Maryland.

ACKNOWLEDGEMENTS

Class specifications are broad descriptions covering groups of positions used by various State departments and agencies. Position descriptions maintained by the using department or agency specifically address the essential job functions of each position.

This is a Skilled Service classification in the State Personnel Management System.  All positions in this classification are Skilled Service positions.  Some positions in Skilled Service classifications may be designated Special Appointment in accordance with the State Personnel and Pensions Article, Section 6-405, Annotated Code of Maryland.

This classification is not assigned to a bargaining unit, as indicated by the designation of S (Supervisor), M (Manager), T (Agency Head), U (Board or Commission Member), W (Student), X (Used by Agency or Excluded by Executive Order), or Z (Confidential).  As provided by State Personnel and Pensions Article, Section 3-102, special appointment, temporary, contractual, supervisory, managerial and confidential employees are excluded collective bargaining.  Additionally, certain executive branch agencies are exempt from collective bargaining and all positions in those agencies are excluded from collective bargaining.

Date Established

Oct 1 1997 12:00AM

Date Revised

March 23, 2018

Approved By

Director, Division of Classification and Salary

CLASS: 003274; EST: 10/1/1997; REV: 3/23/2018;

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