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Senior Subrogation Specialist

Senior Subrogation Specialist

George HillsNorthern, CA
Temps plein
The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims.Although assigned claims generally consist of low to medium exposure, first and third-party automobi...Voir plusDernière mise à jour : il y a plus de 30 jours
Senior Subrogation Specialist

Senior Subrogation Specialist

George HillsNorthern, CA
Il y a plus de 30 jours
Type de contrat
  • Temps plein
Description de poste

Description

The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims. Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims competently.

Requirements

ESSENTIAL DUTIES AND RESPONSIBILITES :

  • Negotiates liability, settlements, and payment arrangements.
  • Develops resolution plans by determining filing solutions (i.e., filing suit or collection agency) to recover payments where subrogation potential has been identified on all levels and types of subrogation claims.
  • Interacts with field staff and investigative agencies / vendors to obtain documentation to assist in the recovery effort.
  • Places responsible parties or their carriers on notice by correspondence and / or phone contact. Documents files to include conversations with all parties related to the claim, correspondence, current file updates, subrogation analysis, file resolution recommendations, and applicable state negligence laws. Monitors claims throughout the subrogation process for final resolution.
  • Assists internal and external customers with the resolution of minor questions.
  • Understands and abides by California Department of Insurance Regulations and the GHC General Liability Claims Handling Guidelines.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED :

  • Ability to work guided by ethics and integrity.
  • Ability to understand relevant legal documents associated with a claim.
  • Ability and desire to provide exceptional service to the client.
  • Ability to understand and follow all regulatory requirements.
  • Ability and willingness to follow GHC’s client(s) guidelines.
  • Ability to make sound discretionary decisions as necessary regarding the settlement / resolution of a subrogation claim.
  • Ability to establish and meet billing goals.
  • Ability to repeatedly deliver Client satisfaction.
  • Ability to proactively handle and manage assigned cases in keeping with client and Company expectations.
  • Ability to build a collaborative relationships with clients and co-workers.
  • Ability to efficiently operate the office equipment and work with office software including the Microsoft Office Suite that includes Excel, Word, Outlook, Teams, and the claims system (Spear Claims).
  • Ability to multi-task and change directions quickly.
  • Ability to work effectively in a fast-paced office environment is essential.
  • Ability to follow direction.
  • Ability to problem solve.
  • Ability to communicate and meet and deal tactfully with co-workers.
  • Ability to function as part of a team.
  • Ability to adapt to change as well as provide suggestions for change when needed.
  • Ability to meet strict time deadlines.
  • Ability to produce accurate, thorough work within the allotted time.
  • Ability to travel by car for extended periods of time exceeding two or more hours to job-related and / or required functions.

    • MINIMUM QUALIFICATIONS :

  • Four-year college degree or commensurate experience.
  • At least five or more years’ experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authority.
  • Excellent written and verbal communication skills.
  • At least three (3) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook and Powerpoint.
  • At least two (2) years of using streaming video conferencing including Teams and Zoom with the ability to set and host group meetings with all included functionality.
  • At least two (2) years of using claims management software and / or ability to quickly learn new software systems related to claims management.