Subrogation Claims Specialist I
Location: Algona, Iowa
Description: Pharmacists Mutual Companies is looking of Subrogation Claims Specialist I right now, this job will be delegated in Iowa. Further informations about this job opportunity please give attention to these descriptions. This position will work in the subrogation where they will investigate, evaluate, reserve, negotiate and resolve complex or serious exposure claims in accordance with Company guidelines. The specialist will provide oversight, consulting, training resources, and serves as a technical resource to the claims staff and other internal customers/partners.
Claims Specialist
Demonstrates a history of high quality claim handling, including litigation management at the examiner level or equivalent.
Direction being provided by manager or Senior Claims Specialist to undertake all of the expectations.
Will handle the lower to moderate exposure specialist-level files as assigned by manager.
Displays positive, proficient, dependable leadership qualities for the department.
Ability to work independently and effectively.
Essential Functions:
Essential Functions may include, but are not limited to the following:
Provides superior customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
Directly investigates each claim through prompt contact with appropriate internal and/or external resources to determine the extent of liability, damages, and contribution potential.
Interviews witnesses and takes statements, as necessary.
Utilizes diary management system to ensure that all claims are handled timely and documents any rationale for departure from applicable protocols and methods.
Attends and/or presents at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expenses.
Responsible for prompt and proper resolution/closure of all claims within delegated authority using developed creative resolution strategies or alternate means of resolution.
Negotiates disposition of claims with insureds and claimants or their legal representatives.
Tracks and controls legal and adjusting expenses to assure cost-effective resolution.
Attends depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Manages litigated files through the selection and direction of counsel, according to our litigation philosophy.
Evaluates all claims for recovery potential; assists in recovery efforts and/or engage and direct Company resources for recovery efforts.
Serves as a subject matter expert within the unit.
Coaching and file oversight of examiners.
Participates with manager in quality control metric reviews and performance reviews as requested by the manager or team leader.
Knowledge, Skills and Abilities
Understand principles and practices of insurance claims.
Understand complex policy and contract coverage.
Manage, negotiate and resolve claims.
Ability and flexibility to work longer hours when workload fluctuations occur.
Research and stay up-to-date with trends and changes in the claims/insurance industry.
Communicate effectively with others (oral and written).
Analyze complex issues and make critical decisions.
Maintain records, prepare reports and conduct correspondence related to the work.
Correct English usage, spelling, grammar, vocabulary and punctuation.
Interpret and apply laws, rules and regulation, as well as complex policy and contract coverage.
Determines when to escalate concerns to the appropriate level of management.
Follow oral and written directions.
Work effectively with others in a team environment.
Contribute effectively to the accomplishment of team or work unit goals, objectives and activities.
Establish and maintain effective working relationships with those contacted in the course of work.
Excellent customer service skills.
Ability to organize and prioritize work.
Work independently and demonstrate drive and initiative.
Ability to handle multiple tasks at once.
Ability to meet definite deadlines and deal with pressure situations.
Collect, interpret, and input data efficiently and accurately.
Use computer and related software effectively.
Use Microsoft Office programs efficiently and effectively.
Position Requirements
Minimum Qualifications
Bachelor’s Degree from an accredited college or university with a business discipline or closely related field, preferred.
5 years of dedicated subrogation experience.
Multi-line Claims handling experience.
Complex liability claims experiene.
Special Requirements, Licenses and Certificates
Advanced or specialized training/certifications preferred: SCLA, AIC, ARM, CPCU
Licensing may be required in some states
We are an equal opportunity employer.
We offer a competitive benefits and compensation package.
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If you were eligible to this job, please deliver us your resume, with salary requirements and a resume to Pharmacists Mutual Companies.
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This job starts available on: Sat, 27 Jan 2018 11:30:55 GMT