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

$42,800.00 - $70,600.00

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This is an entry level position that requires satisfactory completion of required training to advance to the Claim Representative, Recovery position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

What Will You Do?

• Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
• The on the job training includes practice and execution of the following core assignments:
• 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.
• Evaluates liability and damages 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.
• 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?

• Bachelor’s Degree preferred or a minimum of 2 years of work OR customer service related experience preferred.
• Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
• Verbal and written communication skills –Intermediate
• Attention to detail ensuring accuracy - Basic
• Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
• Analytical Thinking – Basic
• Judgment/ Decision Making – Basic

What is a Must Have?

• High School Diploma or GED.
• A minimum of one year work experience required.