What are the responsibilities and job description for the Claims Program Manager - BSVII Project position at Santa Clara Valley Transportation Authority?
Job Description
Are you an experienced claims management professional with a strong background in construction claims and risk exposures? VTA's Office of the General Manager is seeking a highly skilled and proactive Claims Program Manager to join our team!
This position has an anticipated end date of December 31, 2036.
Definition
Under general direction, the Claims Program Manager – BSVII (BART Silicon Valley Phase 2) plans, directs, organizes, coordinates and supervises the Claims unit of VTA with responsibility over the functions of Workers' Compensation, liability, and other claims, as well as other programs as assigned.
Ideal Candidate
The ideal candidate will have at least 10 years of claims management experience, including a minimum of 5 years handling construction claims or risk exposures, and will serve as the primary contact for BSVII claims. They should have the ability to conduct cost-benefit analyses and effectively communicate findings to stakeholders. Additionally, the candidate should possess expertise in facilitating liability, property damage, and workers' compensation investigations by gathering and providing relevant documentation, videos, and photos for TPA adjusters. Knowledge and ability to participate in selecting defense counsel, assigning SIU investigations, and managing other activities to drive optimal claim outcomes is essential. The candidate should also have a strong background in conducting TPA claim reviews and identifying and aiding in the pursuit of subrogation.
- Possess in-depth understanding of the financial implications of claims, their costs to the organization, and ability to hone-in on the areas that lead to the greatest impact;
- Experience with Microsoft Office products, including Word, Excel, Outlook, and Teams;
- Ability to thrive in a fast-paced environment while remaining flexible and adapting to changing priorities as needed;
- Ability to be responsive to communications across multiple platforms, including phone, email, Teams instant messaging, and other channels;
- Ability to manage multiple projects at the same time simultaneously, ensuring steady progress toward timely completion and resolution;
- Ability to work effectively both independently as a department of one and collaboratively within a team, while delegating responsibilities and maintaining ultimate ownership;
- Willing to travel to various jobs sites and be available 24/7 for emergency responses as needed.
The Santa Clara Valley Transportation Authority employs more than 2,000 people dedicated to providing solutions that move Silicon Valley. Unique among transportation organizations in the San Francisco Bay Area, VTA is Santa Clara County’s authority for transit development and operations (light rail and bus), congestion management, transportation-related funding, highway design and construction, real estate and transit-oriented development, and bicycle and pedestrian planning. With local, state, and federal partners, VTA works to innovate the way Silicon Valley moves and provide mobility solutions for all.
Santa Clara Valley Transportation Authority (VTA) is an independent special district that provides sustainable, accessible, community-focused, innovative, and environmentally responsible transportation options promoting the region's vitality. VTA provides bus, light rail, and paratransit services and participates as a funding partner in regional rail services, including Caltrain, Capital Corridor, and the Altamont Corridor Express.
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Classification Details: Non represented, Project
Recruitment Closes: April 9, 2025 at 11:59PM
Essential Job Functions
- Selects, supervises, trains, motivates, counsels, and disciplines staff;
- Manages third party administrators in the claims adjusting function and participates in settlement determination, and claims litigation; determines appropriate funding levels for reserves;
- Plans, assigns, directs, reviews, and evaluates the work of the Workers' Compensation, Liability and Claims unit staff and programs;
- Plans data for annual insurance renewal; completes insurance applications and assists in negotiation of insurance policy terms, conditions, and coverages;
- Acts as primary contact with State Regulatory oversight personnel for Medical Provider Network (MPN) and Self-Insured Plans;
- Administers self-insured Workers' Compensation, liability, property damage, and other claim functions;
- Develops policies and procedures for Workers' Compensation and liability programs;
- Conducts risk analyses and assists in identifying and mitigating areas of potential liability;
- Reviews laws, regulations, legal cases, court decisions, and proposed legislation to evaluate their impact on VTA;
- Prepares a variety of reports, correspondence and other documents;
- Negotiates and manages contracts in areas of responsibility;
- Reviews and approves outside expense billings within assigned area of responsibility;
- Performs related duties as required.
Minimum Qualifications
Development of the required knowledge, skills, and abilities is typically obtained through a combination of training and experience equivalent to graduation from an accredited college or university with a four-year degree in business administration, public administration, or related field and five years of increasingly responsible experience performing Workers' Compensation claims administration activities and demonstrated supervisory experience.
Possession of a California Self-Insured Administrator's certificate and possession of an Associate in Risk Management (ARM) credential are highly desirable.
Supplemental Information
- Principles and practices of public administration, organization, management analysis, supervision, budgeting, program development, and personnel management;
- Laws, ordinances, codes, and procedures applicable to California's Workers' Compensation claims, Workers' Compensation Medical Bill Review (MBR); Managed Care; Workers' Compensation Utilization Review; Medical Provider Networks (MPN); liability, property damage, unemployment, and other types of claims;
- Principles and procedures of claims management;
- Principles and procedures of program development and administration.
- Effectively plan, organize, staff, coordinate, direct, and evaluate programs and staff;
- Define problem areas, evaluate, recommend, and implement solutions to complex issues and problems;
- Interpret and apply laws relating to, liability claims, Workers' Compensation and other areas of responsibility;
- Represent VTA in dealing with government agencies and other entities;
- Maintain records and reports;
- Prepare clear and comprehensive correspondence, reports, and other documents relating to areas of responsibility;
- Negotiate equitable settlements of claims for and against VTA;
- Establish and maintain effective relationships with those contacted in the course of work.
What’s in it for You?
Work/Life Balance: 40-hour work weeks, and adoption of a flexible/hybrid remote schedule.
Health: VTA participates in a CalPERS-sponsored medical plan with VTA contribution to employee and dependent premium health insurance premiums. Employees pay a monthly contribution of any amount in excess of the Kaiser Bay Area Family rate.
Flex Spending Account: $300 employer-funded Health FSA for eligible employees
Vision: VSP full premium for employees and eligible dependents
Dental: Delta Dental full premium for employees and eligible dependents
Leave: 17 days of vacation (accrued), 80 Hours of sick time (accrued), 12 paid holidays per year, and 1 floating holiday per year.
Retirement:
- Participation in CalPERS
- Classic Members: 2%@55
- PEPRA Members: 2%@62
-
457 Deferred Compensation Plan (voluntary)
- 457 pre-tax
- 457 Roth
Additional Perks:
All active full-time employees and their eligible dependents are eligible for transit passes for use over VTA lines, including VTA Paratransit services.
Employee Assistance Program (EAP) is available to each employee, eligible dependent, and household member, 24 hours a day, seven days a week.
Tuition Reimbursement
Professional Development Fund
Wellness Programs
General Instructions
Please read this entire job announcement before applying for the position. Print and keep a copy of this announcement so that you can refer to it. Questions not answered within this job announcement may be sent to personnel@vta.org.
To ensure consideration, completed applications must be submitted online to the Human Resources department by the stated closing time and date posted. When the stated closing date is “continuous,” apply immediately; the position may close without notice. You will receive an immediate email confirming receipt of your submitted application. If you do not receive this email, contact NEOGOV's Applicant Assistance Line at (855) 524-5627 between 8:00AM to 5:00PM (PST) Monday through Friday, excluding holidays.
Only on-line applications will be accepted for this recruitment (paper applications or resumes will not be accepted). Job Interest Notification Cards, or copies of previous, partial, or un-submitted applications, are not an acceptable substitute to a completed application.
ALL APPLICATION AND TESTING NOTIFICATIONS WILL BE SENT BY E-MAIL. Applicants should select e-mail as the preferred method of notification. Candidates must maintain an up-to-date, valid and reliable e-mail address. Candidates are also responsible for maintaining up-to-date phone numbers and addresses on their on-line account. Due to the number of applications received, candidates must check their application status through their on-line account. Contact NeoGov for assistance if needed.
Information on how to apply for jobs at the VTA is available on the VTA Employment website and from the NEOGOV's Applicant Assistance Line (855) 524-5627. NeoGov Applicant support is available from 8:00AM to 5:00PM (PST) Monday through Friday, excluding holidays.
Americans with Disabilities Act Accommodations
The Human Resources Department will make reasonable efforts in the recruitment/examination process to accommodate applicants with disabilities. If you wish to request an accommodation, call the Human Resources Department at (408) 321-5575 or email at Personnel@vta.org.
Application Processing Information
All related current and past work experience (including VTA experience) must be listed and fully described in the Work Experience section of the application ("See Resume" is not acceptable). Incomplete or improperly completed online applications may be rejected even if you are qualified for the position for which you are applying. It is your responsibility to ensure that the online application reflects the work experience and education needed to meet the requirements for the position you are applying for. Although your resume may have all your experience and education details, please make sure to complete each section of the online application to ensure that your information is accurately captured during our screening process.
All applications are subject to review as to meeting minimum qualifications at any point in the recruitment process. Passing any step is no guarantee of continuation if it is determined that the applicant does not meet the minimum qualifications as stated in the class specification.
Candidates found to have exaggerated/falsified their qualifications, experience, training, and/or education may be disqualified at any point in the recruitment process and may be denied future employment with the VTA.
If selected for the position, candidates will be required to complete a criminal conviction disclosure form. Candidates who successfully become VTA employees and fail to disclose any of the criminal background information as required may be subject to discipline up to and including discharge.
Eligible Lists typically remain in effect for six (6) months. However, Human Resources may abolish Eligible Lists at any time during the six (6) month period. Human Resources may extend eligible Lists for up to two (2) years. Eligible Lists may be used for more than one recruitment. If you have questions related to an Eligible List you might be on or were on, you should contact Human Resources.
If you have questions regarding your status as an applicant for this position, please call the Human Resources Department at (408) 321-5575 or email at Personnel@vta.org.
VTA is committed to providing reasonable accommodations to applicants and employees with disabilities or religious needs, absent undue hardship.
VTA is an equal employment opportunity employer. VTA does not and will not tolerate discrimination against applicants or employees on the basis of age, ancestry, color, marital status, mental or physical disability, genetic information, national, origin, immigration status, political affiliation, race, religion, creed, sex, gender identity, gender expression, sexual orientation, pregnancy, medical condition, disabled veteran or veteran status, etc.
