Claim

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$59,200.00 - $97,700.00

2

This position is in our West Bridgewater, MA office location.

This position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Subrogation claims. Conducts, validates and/or directs front line investigations, determines liability, confirms subrogation potential and maximizes recoveries by negotiating and settling subrogation claims. Provides quality claim handling throughout the claim life cycle (customer contacts, investigation, evidence preservation, evaluation, reserving, negotiation, litigation management and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Serves as a contact and technical resource to the field and our business partners.

What Will You Do?

• Investigates each claim to obtain relevant facts necessary to evaluate recovery potential, identify the cause of loss, identify responsible party targets and their carriers, and develops theories of liability, through prompt and strategically-appropriate contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts); obtains necessary statements as strategically appropriate; adhering to Claim Best Practices and Special Account Communication instructions.
• Delivers consistent service quality and effective diary management to ensure all claims are handled timely throughout the claim life cycle to achieve optimal outcome.
• Directs the preservation of evidence; hires experts and identifies resources for specific activities to properly investigate, such as Risk Control, nurse consultants, fire or fraud investigators, and other experts. Verifies the nature and extent of the loss.
• Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability to assess Subrogation potential including consideration of jurisdictional statutes, case law and bodily injury value, where applicable. Updates as new information is presented.
• Develops and employs creative resolution strategies.
• Negotiates subrogation recoveries with responsible party, their carriers and other legal representatives/attorneys.
• Recognizes and implements alternate means of resolution including arbitration, while controlling expenses.
• Develops litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• Applies litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy. Tracks and controls legal expenses to assure cost-effective resolution.
• Manages both allocated and unallocated loss adjustment expenses.
• Updates appropriate party as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
• Attends and/or presents at roundtables/ authority discussions for collaboration of technical expertise resulting in optimal resolution.
• Recognizes cases, based on severity/ complexity protocols that should be transferred to another level of subrogation professional and refers on a timely basis.
• Represents the company as a technical resource, may at times attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws.
• Provides mentoring and coaching to less experienced subrogation professionals / trainees.
• Shares accountability with all business partners to achieve and sustain quality results.
• Determines settlement value by assessing extent of liability of the responsible party, determining legally recoverable damages.
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

• Bachelors Degree preferred.
• Minimum of two years subrogation claim handling experience preferred.
• Experience utilizing computer technology; such as Microsoft Office, Email, Web-enabled applications and database software preferred.
• Analytical Thinking Skills - Intermediate.
• Judgment/Decision Making Skills - Intermediate.
• Communication Skills - Intermediate.
• Negotiation Skills preferred- Intermediate.
• Insurance Contract Knowledge - Intermediate.
• Principles of Investigation - Intermediate.
• Value Determination - Intermediate.
• Settlement Techniques - Intermediate.
• Legal Knowledge - Basic.
• Organizational skills with the ability to prioritize and work Independently - Intermediate.
• Solid typing skills to enter and search for data - Basic.
• General ability to negotiate and solve customer inquiries or complaints - Intermediate.

What is a Must Have?

• High School Diploma or GED.
• A minimum of one year property and casualty subrogation claim handling experience and/or comparable liability claim experience or successful completion of Travelers Subrogation Training Program.