Subrogation Claims Professional (Mid Or Senior Level)
Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Subrogation Claims Professional! This individual will be responsible for managing a caseload of subrogation claims in accordance with established guidelines, ensuring cost-containment and maximal recovery outcomes to achieve company goals and objectives.
Essential Responsibilities
- Effectively manages a caseload of subrogation claims, providing highest quality claims service, and appropriate resolutions in accordance with our claims handling guidelines.
- Reviews claim files to identify, evaluate, and interpret subrogation potential for single and multi-party claims. Coordinates appropriate steps to secure evidence and ensure pursuit, development and recovery of claims. Evaluates completeness and accuracy of documentary evidence.
- Assists in recovery of overpayments for duplicate coverage claims. Identifies legal liability and pursues, negotiates and settles subrogation collection. Interacts with appropriate parties to recommend and document necessary information to close claim.
- Assists adjusters in identifying claims in which a third party(ies) is(are) responsible for a claim, coordinating communication with the responsible party(ies) for facilitating recovery of payments. Makes recommendations on recovery potential for subrogation claims.
- Ensures that subrogation claims are managed in compliance with applicable statutes, regulations, case law, and Company standards. Follows guidance to optimize subrogation recovery to ensure claims are appropriately and timely subrogated.
- Participates in a variety of subrogation-related projects such as process improvements, workflow mapping, trend identification, etc.
- Contributes to training for Claims adjusting teams and others on subrogation and related topics.
- Interacts effectively in roundtables, sharing appropriate information to improve education and understanding of subrogation topics by others.
Required Qualifications
Education : Minimum of High School diploma or equivalent certificate required. Bachelors degree from an accredited four-year college or university preferred.Experience : Minimum of 3 years of workers compensation claims adjusting experience (7 years for Senior-level) required. Prior subrogation claims management experience preferred (Minimum of 4 years of subrogation claims management required for Senior-level).Certifications : Maintains qualifying educational criteria to manage a caseload of workers compensation claims for state assigned. California Claims Professionals : Self-Insurance Administrators Certification preferred.Technical And Computer Skills
Solid workers compensation claims management knowledge for state assigned.Data analytic skills to perform solid data collection, analysis, and reporting.Proficient in Microsoft Office suite of products.Knowledge of claims software systems and able to master and become proficient in proprietary and vended software programs.Desired Competencies
Math and reasoning ability : Able to apply concepts such as fractions, percentages, ratios and proportions to practical claims solutions. Able to compute rate, ratio, and percent. Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Able to deal with problems involving multiple unknown variables in situations with limited data.Language ability : Able to read and interpret information and documents contained in claim files. Able to write routine reports and correspondence. Able to effectively negotiate, write, and interpret legal and business correspondence and reports. Able to effectively present research, make persuasive arguments, and professionally respond to questions from attorneys, internal partners, and external sources.Critical thinking : Able to think critically and adapt quickly in a flexible and dynamic environment. Are proactive and inquisitive in approach to work. Able to derive appropriate conclusions and apply on the job.What We Offer
Work From Home Program (up to 2 days per week upon eligibility)Modern Office SettingOn-Site Fitness FacilityOnsite Parking ProvidedPaid Time OffPaid HolidaysImmediate Vesting of Retirement Savings + Company MatchGroup Health Insurance (Medical, Dental, and Vision)Life and AD&D InsuranceLong Term Disability InsuranceHospital Indemnity InsuranceAccident and Critical Illness InsuranceFlexible Savings AccountsPaid Community Volunteer DayEmployee Assistance ProgramTuition Reimbursement ProgramEmployee Referral ProgramDiversity, Equity and Inclusion ProgramWith more than 50 years in business, Berkshire Hathaway Homestate Companies (BHHC) has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplacesomething we truly value. We've created an approachable and collaborative atmosphere. Here you'll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.