Subrogation Claims Representative

Location
Richmond, Virginia
Salary
Not Specified
Posted
Sep 16, 2020
Closes
Nov 15, 2020
Ref
SUBRO02912#GIJ--Selective.1
Category
Claims
Job Type
Not Specified
Career Level
Not Specified

Description

Evaluation of subrogation potential and negotiation on (Property, WC, HO, GL, Auto) Claims. This individual reviews, negotiates and concludes by settlement or denial assigned claims through telephone, personal contact, and/or electronic or written correspondence. They are skilled to analyze investigative data and make prompt and sound decisions. They possess strong negotiation skills to obtain the highest settlements possible to impact the Companys bottom line. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance.

Responsibilities:

  • Receives assigned claims (which can be complex in nature), reviews and verifies facts to determines course of action.
  • Processes claims which includes the following activities: Analyze investigational data, explore subrogation potential, identify any additional investigation which may be necessary in support of subrogation, settle non-litigated claims, secure appropriate releases, process recovery checks and return insured deductible when applicable.
  • Documents claims files and maintain control of work through documentation or diary system.
  • Assigns litigated claims to staff or panel attorney who pursues subrogation on our behalf or files Intercompany Arbitration when a claim is disputed/denied in order to move file to settlement or closure. Evaluate range of potential recovery and give authority to attorney to settle both non-litigated and litigated claims within delegated authority. If over Claims Technical Specialist authority, provide case analysis to management for approval.
  • Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim issues.
  • Assign experts to case and arrange for inspections when necessary.
  • Prepare for and participate in claims review and settlement conferences as needed.
  • Ensures compliance with company, state and federal regulations.
  • Update MCS on a continual basis to accurately reflect status of each assigned file.
  • Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employees time and a valid drivers license.

Knowledge & Requirements:

  • Advanced knowledge of claims handling and subrogation to assist co-workers and field personnel.
  • Analyze (wc, auto, GL, HO, Property) policy language and endorsements pertaining to subrogation.
  • Exceptional customer service skills
  • Damage evaluation skills
  • Excellent negotiation, analytical and organizational skills
  • Well versed with rules and regulations of Intercompany Arbitrations, strong ability to formulate winning contentions and able to assist field personnel with questions.
  • Understanding of Statute of Limitations and Statute of Repose and the importance of protecting them.
  • Must have valid state-issued drivers license in good standing and be able to drive an automobile.

Education & Experience:

  • College degree preferred.
  • 3 - 5 years claims experience preferred.
  • 2 years appraisal experience preferred.
  • 2 years data entry experience preferred.
  • Must have valid State Licenses.
  • Excellent negotiation, analytical and organizational skills

Selective is an Equal Employment Opportunity employer. Selective maintains a drug-free workplace.

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