Claim Rep, Adverse Subrogation (Hybrid)

Responsibilities

• Assist the company's subrogation effort by investigating, evaluating and settling both first- and third-party subrogation claims for the most appropriate percent attainable while considering costs.
• Responsible for maintaining a current caseload and negotiating settlements within approved authority levels.
• Responsible for managing a variety of claims associated with personal and commercial automobile insurance policies. May also be responsible for multi-state auto policies and homeowner policies with exposure to both litigation and arbitration cases.

Customer Service

• Understand and comply with all customer service standards.
• Affirm adherence to internal and external claims handling procedures, workflows and standards.
• Ensure timely, clear, concise and empathetic verbal and written communications.
• Effectively manage ACD telephone system/features by complying with Log In/Log Out, AUX and ACW expectations and standards.
• Conduct thorough and prompt investigations of accidents to make timely coverage and liability determinations.
• Recognize customer service opportunities and promptly respond to customers’ needs.

Quality & Productivity

• Investigate and negotiate settlement of claims within approved authority levels for the most appropriate percent attainable while considering costs and meeting departmental standards.
• Utilize available databases to effectively manage assigned claims.
• Ensure that all parties involved in a loss are contacted to make an accurate determination as to coverage and liability while identifying claim exposures.
• Achieve Subrogation Department standards through proper management of assigned caseload.
• Maintain current diary status and meet open/close productivity standards.
• Achieve timely authorization and adjustment of direct third party rental claims if applicable.
• Adhere to established practices and procedures as well as applying existing state laws and regulations.
• Acquire expertise in the usage of MS Word Letters and Forms.

Technical Knowledge

• Investigate and evaluate liability and apply the correct state laws regarding comparative negligence and joint tort feasor.
• Participate in subrogation training modules, demonstrating appropriate levels of technical and procedural job knowledge.
• Identify and investigate potentially fraudulent claims and develop action plans with supervisory assistance.
• Secure monthly payment plans and submit license revocation requests when appropriate.
• Respond to incoming PD, PIP and Med Pay arbitrations and issue payment on these claims as warranted in a timely manner.

Leadership/Role Modeling

• Attend and participate in unit/department meetings.
• Build effective and professional business relationships.
• Foster teamwork within the unit/department.
• Demonstrate commitment to company standards, procedures, and expectations.
• Embrace our Ten Caring Corporate Values and Customer Service Profile in daily interactions.

Qualifications

• Education: Bachelor’s Degree or professional level of knowledge in a specialized field, or equivalent, related experience.
• Experience: 0 - 2 years - or Associates Degree equivalent plus 2 - 4 years experience.
• Experience should include a minimum of one year Contact Center Claim Services or equivalent.
• Excellent customer service and interpersonal skills are a must.
• Effective verbal and written skills are necessary.
• Demonstrate the willingness/ability to obtain out of state license(s) in conjunction with departmental objectives/needs.