Subrogation Claims Examiner

Nationwide

 

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission to create the best insurance experience possible.

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for seven consecutive years as a Top 50 performing P&C company offering the stability of a large, profitable and growing company combined with a small-company entrepreneurial spirit. Our purpose-driven ethos provides team members with opportunities to contribute, develop, and belong.

The Subrogation Claims Examiner will identify and pursue subrogation opportunities in the Workers' Compensation claims line of business. The position exists to review claims with subrogation potential, analyze the potential for recovery, file claims with responsible parties and their carriers, and negotiate settlement in accordance with statutory and case law as well as pertinent regulations. This role will determine when litigation is a cost-effective method of seeking recovery and will keep the Workers' compensation claims examiners informed of any significant developments.

*Will consider remote opportunities depending on location

WHAT YOU WILL DO

Investigates and gathers necessary information to evaluate subrogation potential of assigned claims.

  • Communicates with insureds to obtain information necessary for evaluating subrogation.
  • Directs and manages legal counsel to ensure timely and cost-effective litigation.
  • Attends arbitrations and/or mediations as often as workload allows.
  • Analyzes police reports, investigative reports, policies, construction contracts, and OSHA reports.
  • Pursues subrogation, recoveries and contributions vigorously and within statutory timeframes.
  • Maintains case lists and follows up with claims personnel and outside attorneys.
  • Summarizes and analyzes depositions and medical reports/records.
  • Maintains a calendar of important deadlines on cases.
  • Assists in preparing subrogation department metric reports.

Applies technical knowledge and human relations skills to ensure fair and prompt recoveries.

  • Presents cases and participates in their discussion at claim committee meetings.
  • Manages and approves payment of subrogation expense costs.
  • Provides settlement analysis in in support of request for settlement authority.
  • Resolves claims fairly and equitably, acting in the best interest of the insured.
  • Reports all recoveries to ensure they are credited to the claim file.
  • Communicates effectively with other Company departments.

Assists in subrogation litigation.

  • Contacts outside attorneys, insureds, witnesses, court reporters, interpreters, and claims representatives.
  • Prepares notice and demand letters to third parties, their carriers, and attorneys.
  • Assembles arbitration and trial exhibit materials.
  • Prepares responses to legal pleadings.

WHAT YOU BRING TO THE ROLE

  • High school diploma or general education degree (GED) required.
  • Bachelor's Degree from four-year college or university preferred with a major or emphasis in Business Administration, Management, Economics or related field.
  • Minimum 1 – 3 years of related experience and/or training; or, equivalent combination of education and experience.

CERTIFICATES, LICENSES, REGISTRATIONS

  • All Examiners must receive certification that meets the minimum standards of training, experience, and skill.
  • WCCA and WCCP not required but helpful.
  • State Workers Compensation License is required in some branches.
  • Paralegal certificate from an accredited program preferred.

KNOWLEDGE AND SKILLS

  • Basic understanding of Workers' Compensation and Personal Injury Laws and jurisdictional restraints to manage subrogation claims.
  • Ability to read, analyze, and interpret general business or legal periodicals, professional journals, and government regulations.
  • Knowledge of subrogation process preferred.

WHY JOIN ICW GROUP?

  • A flexible work schedule, hybrid and remote opportunities
  • Challenging work and the ability to make a difference
  • You will have a voice and feel a sense of belonging
  • We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans
  • Want to continue learning? We'll support you 100%

ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

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