This position is responsible for promptly and efficiently pursuing a maximized subrogation recovery.
MAJOR RESPONSIBILITIES AND AUTHORITY
Evaluate liability issues with claims to determine if there is adequate evidence to pursue recovery from the third party.
Review claim files to evaluate recovery potential and open a new subrogation file on those with adequate potential.
Take appropriate steps for the development, pursuit, and recovery of claims.
Determine the percentage of negligence to place on each party in a claim.
Evaluate completeness and accuracy of documentary evidence regarding the amount of damage and attribution of liability.
Refer to the assigned Claims Representative, District Claims Manager, and/or Subrogation Supervisor for claims where additional investigation is deemed necessary.
Maintain a comprehensive understanding and knowledge of the entire claims process in order to properly evaluate, analyze, and interpret what a Claims Representative has included in the claim file.
Prepare and issue payments for subrogation expenses, including payments to attorneys, outside investigative expenses, and policy reports.
Reimburse policyholder’s deductible after recovery is made.
Correspond with parties subrogation claims are made against, negotiating payment plans as necessary.
Evaluate facts and evidence, liability, amount of damage, and other factors, prior to negotiations with other insurance companies and attorneys in order to maximize the subrogation recovery and reach agreement on settlements.
Secure MVRs, title searches, address searches, or other necessary information.
Refer cases to outside collection agencies and attorneys when necessary.
Contact or interview claimants, doctors, medical specialists, or employees to get additional information regarding claims.
Comply with the Certified Fleet Operator requirements of the Company Driving and Safety Policy.
Other duties may be assigned.
MINIMUM POSITION QUALIFICATIONS
Combination of education and experience that meets one of the following:
a. Four-year degree from an accredited college or university.
b. Equivalent experience, with a high school diploma or GED.
Experience in property and casualty insurance claims, preferably in the subrogation field.
One to three years of general office experience, preferably in insurance company operations.
Acceptable credit rating.
All Lines Adjuster license from the Texas Department of Insurance, maintained according to the licensing requirements set forth by the state of Texas ; or have the ability to obtain such license in a reasonable period.
Effective knowledge of basic computer applications, especially Microsoft Office Suite.
Effective interpersonal verbal skills, both face-to-face and over the phone.
Ability to plan, organize, and complete detailed work independently or in a team environment.
Ability to work under minimal supervision within 60 days of employment.
Valid Texas driver’s license and driving record at the time of hire which would not place the employee on probation, or disqualify the employee from Certified Fleet Operator Status under the company Driving and Safety Policy.
Occasional long, irregular work hours.
Travel, including overnight travel, as required.
Repeated use of PC, telephone, and office machines.
Extended periods of sitting and concentrating.
Regular bending, twisting, crouching, pulling, pushing, and reaching in an office or field environment.
Occasional lifting and moving items weighing up to 30 lbs.
Texas Farm Bureau Mutual Insurance Company - 23 months ago