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Straight
Track #13
What's The Claim Agent's Job?
His Job Is To Save The Railroad Money!J.
Dillon Hoey
Partner, Hoey & Farina
1-888-425-1212 Many
times, we have heard from an injured railroader, “I am
going to give the claim agent a chance.” Why? |
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When
an employee is injured, the railroad immediately begins to
build its case against the employee. While the employee is
recovering from his injury the railroad, namely the claim
agent, is gathering information and documentation to
reduce the railroad’s liability. The railroad is taking
control of the facts that will significantly impact
settlement negotiations.
During
the recovery period, an injured employee has essentially
no access to any information concerning his injury. He may
be able to develop some information from his fellow
employees, but he has no formal means to gather evidence
or establish the theory of the railroad’s liability.
Typically, the employee and his union representative are
denied access to the accident scene and the equipment that
may be involved. If rolling stock is involved, the
railroad will continue to utilize the stock in service or
allow it to be shipped to some other location. If
defective equipment and structures contributed to the
injury, the railroad will make the necessary repairs prior
to any subsequent inspections. Immediately, the railroad
has placed the injured railroader in a weak negotiating
position.
The
claim agent wants you to believe that he is your friend.
He will offer to pay the medical bills with your own
insurance policy and send you to the “best company”
doctors. He will tell you that he will address all the
claimant’s needs in the hopes that the employee will not
retain legal counsel. The claim agent’s objective is to
become the “friend” of the injured railroader and to
lead the claimant towards a direct settlement, favorable
to the railroad.
The
injured railroader should know that the railroad’s claim
department is structured so that an injured employee must
rely on the claim agent as his representative in
direct settlement negotiations. The claim agent must first
convince his superiors of the value of a case. He is
required to plead the employee’s case to the higher
levels of authority within the department. That is, the
employee is relying on the local claim agent to negotiate
his case within the claim department.
So after the
employee convinces the claim agent of the value of the
injury, the employee then relies on the claim agent to
convince his superiors of the validity of the claim. How
can this procedure be in the best interest of the injured
employee when the claim agent’s loyalty is with railroad
management and his next raise is dependent upon their
approval.
In
summary, the claim agent is representing the railroad. His
objectives are to manage your medical treatment, control
settlement negotiations and pay you the least amount of
money possible to avoid a lawsuit. He wants to control the
value of your case and then convince the injured employee
to accept the least amount.
Hoey & Farina’
sole responsibility is to represent the client’s best
interest. The facts and circumstances of each case will
affect the settlement outcome or a jury’s verdict.
But
the “best interests” of the railroad will never be a
consideration in representing the injured railroader.
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