Manages a pending subrogation claims case load of all loss types and severity across all clients. Effectively reviews and evaluates new claims for subrogation potential. Identifies and opens subrogation on applicable claims. Maximizes recovery on all applicable claims.
The following duty statements are illustrative of essential functions of the job and do not include other non-essential or marginal duties that may be required.
1. FNOL Review – Reviews and evaluates all newly reported losses for subrogation potential on the first and fifteenth day of the claim. Claims without sufficient information to determine subrogation potential are placed on diary for a 30 day review. Advises claims examiner of additional necessary actions to determine and preserve subrogation. Completes subrogation referral when warranted.
2. Claim Assignment & Notices – Reviews all new assignments for subrogation potential and develops an action plan. Places all possible responsible parties on notice. Monitors the claim to ensure effective recovery. Sends Deductible Notice Letter to insured.
3. Investigation – Researches faulty product for recalls, known history of defects, and other cases involving faulty product. Performs searches through the clerk of the court, permitting, and public records for accurate information pertaining to adverse parties.
4. Processing – Sends demand package to include supporting documentation to adverse party(s). Communicates with adverse party(s) for claim resolution and payment. Contacts insured regarding deductible refund when appropriate.
5. Diary - Maintains a current diary on all assigned claims. Weekly follow up on claims in which a settlement is pending.
6. Evidence – Contacts insured and IA to instruct them to secure evidence. Ensures that evidence is received, properly documented with Chain of Custody Form and securely stored. Determines experts needed for testing and evaluation of the evidence. Manages sending and receiving of evidence to said experts. Documents and disposes of evidence upon conclusion of claim.
• Strong oral and written communication skills used to interact with all levels of internal and external customers. Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Ability to interact with others to identify issues/problems and to correct problems. Knowledge of principles and processes for providing customer service to include customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Ability to be flexible and prioritize multiple tasks.
• Strong time management and organization skills.
• Strong investigative and negotiation skills.
• Effective and timely decision-making skills.
• Ability to quickly gain a thorough knowledge and understanding of the homeowner policies and endorsements is critical.