Subrogation Adjuster

Description This role is responsible for assessing claims for subrogation potential by identifying responsible parties, determining theories of liability, and evaluating applicable third-party insurance coverage with the goal of recovering claim funds from the appropriate sources. This position involves communication with Member representatives, third-party insurance carriers, and uninsured responsible parties, both verbally and in writing. Essential Functions Required Responsibilities* Evaluates claim assignments to determine subrogation viability. Prepares and sends notices and demand letters to third-party carriers and uninsured parties. Responds to Letters of Representation from workers’ compensation claimant attorneys. Communicates status and final outcome of subrogation claims to Member contacts. Conducts docket reviews to identify claims requiring escalation or follow-up actions. Negotiates settlements with third-party insurance carriers and other responsible parties. Processes subrogation recoveries and deductible reimbursements. Prepares cases for closure or potential litigation. Processes recovery checks for claims. * The above responsibilities are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required by the position. All employees may have other duties assigned at any time. Job Requirements Education, Work Experience, Certifications** Required B.A. or B.S. degree in Business, Insurance, Risk Management, or a related field Years of Experience: 1 Area of Experience: Subrogation, Liability, Property Claims, Workers’ Compensation Claims, or a related field Insurance Adjuster License Equivalent combinations of education and experience will be accepted Preferred Property/Casualty License Essential Competencies and Skills** Required Experience in the Property and Casualty Insurance Industry Possess knowledge and understanding of relevant laws, rules, and regulations Proficiency in Adobe Acrobat Pro Proficiency in MS Excel Proficiency in MS Word Proficiency in MS Outlook Preferred Proficiency in MS PowerPoint Proficiency in Guidewire ClaimCenter ** To perform this job successfully, an individual must be able to perform each primary responsibility satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary responsibilities. Supplemental Information Work Leadership Requirements This position is not a people manager. This position does not have indirect reports. Travel Requirements None Physical Requirements Be able to withstand typical office work that includes periods of sitting, standing, typing, etc. indoors. In addition to typical office work, must be able to exert up to 10 pounds of force occasionally to move objects. Requires close visual acuity to perform an activity such as preparing and analyzing data and figures, viewing a computer screen, visual inspection, assembly of parts, or extensive reading. Ability to be at work on-site when needed. Must be able to operate standard computer hardware. #J-18808-Ljbffr City of Maypearl