Description
This position, as a Subrogation Recovery Representative is responsible for supporting the Alacrity Subrogation recovery efforts, inclusive be not limited to the identification, investigation, negotiation and settlement & recovery or closure without recovery as approved, of all cases assigned to the recovery representative.
Requirements
• Regular and reliable attendance is an essential function of this position.
• Investigation, negotiation, and recovery of first party Worker's Comp claim losses.
• Ability to negotiate within parameters of client authorization, and file arbitration or refer matters to subrogation counsel when necessary.
• The representative will seek to maintain 100% closing ratio through the appropriate disposition of cases assigned.
• Outstanding Customer Service is necessary, and will include all communications with clients, policyholders, adverse parties, adverse carriers, vendors, public adjusters, counsel and virtually any person who is associated with the case being handled.
• All recovery representatives must familiarize themselves with Client Repository and Special handling located in RMS, and within each claim file.
• Receives, reviews new and re-assignments, and conducts investigation to determine and pursue subrogation.
• All new assignments must be worked within 24-hours of receipt.
• All emails must be zero’s out within 48-hours of receipt. All emails pertaining to a recovery claim must be copied and placed in the electronic file notes section in SpartanRMS. Emails placed in the file Note Section must be done by hitting forward so as to capture the full date and Sent from information.
• During the file review, the representative must take note of the Loss State, Negligence Rule and Statute of Limitations on each file handled.
• The recovery representative is responsible for updating the claim Summary Screen to include the Cause of Loss (re-written in short concise and meaningful wording), Case Highlights, Liability Assessment and Plan of Action on every case as needed, and very importantly, the Plan of Action with anticipated “Next Steps.”
• Reviews and adds to the POI – (Party of Interest) Module to capture all parties involved in the loss, including the insured, adverse party, adverse carrier, witnesses, police, public adjuster, engineers, Third-Party Administrators and SIR entities.
• All Statutes of Limitation absolutely must be to acknowledged and adhered to. The recovery representative must determine if any adverse party is a municipality requiring that we send a 90-Day Notice of Claim via Certified Mail to protect the statute of limitations.
• Sends Demands or Subro Notices out as early as possible on all cases assigned and diaries the case appropriately for follow-up.
• Looks to minimize cycle-time and bring every matter to conclusion as quickly as possible.
• Understands the complete tenants of Arbitration Forums, and writes clear meaningful contentions which will establish liability against the adverse party.
• Recovery Representatives are responsible to promptly write and file arbitration contentions on all cases involving damage disputes as well as liability disputes. All damage dispute matters must be updated during the re-visit time frame allocated by Arbitration Forums.
• All claim file diaries are deemed to be current within 5-days of date set.
• Every recovery representative is obligated to makes all necessary phone calls, or in instances where phone contact is not possible, sends email inquiries to obtain all loss facts which will allow for the most judicious pathway to case conclusion, either by settlement and recovery or write-off file closure.
• Continually updates Detailed Status in RMS to clearly identify current file activity and status.
• Accurately updates the Estimated Recovery Value in each file from the 49% to the appropriate and anticipated recovery percentage.
• Enters all Expenses as incurred in the Expense Module
• Updates Evidence Module for Injuries, Vehicle information, or Product depending on the loss type.
• All negotiations and settlements are performed within the client authorizations as defined in the Client Repositories.
• When referring any matter to subrogation counsel, makes certain that the Adverse Carrier is not a Member of Arbitration Forums, as then Arbitration Filing would be necessary.
• When matters are referred to counsel, a short diary must be set to confirm counsel has acknowledged receipt of the referral and accepted same for handling.
• Subsequent to subrogation counsel accepting the referral, a copy of the Summons & Complaint filed together with the Answer from the Defendant must be obtained to validate that suit has been filed and the statute of limitations protected.
• All documentation entered in the RMS Notes, and all emails written to any party, inclusive but not limited to Adverse Parties, Adverse Carriers, Policyholders, Counsel and Clients, must be reviewed by the recovery representative to eliminate or correct all spelling errors, be comprehensively phrased, and written with no grammatical errors.
• Internal file Messages or emails from the recovery representative’s Team Leader or Manager must be addressed and responded to within 24-hours.
• All correspondence from a client must be addressed and responded to within 24-hours.
• Any complaint, no matter how insignificant it may appear, must be immediately brought to the attention of the recovery representative’s Team Leader and Manager.
Required Education and/or Experience
• Minimum of three (3) years’ experience working in as a Subrogation position.
• Intermediate to advanced computer skills.
• Knowledge of claims-related laws and regulations.
• Previous understanding of civil litigation, the claims technical process, subrogation, and litigation.
Preferred Education and Experience
• Bachelor’s or Associates degree in any field is preferred, but not required
• Demonstrated experience within the Claims Industry
• State Adjusters License.