Claim Rep, Subrogation (Hybrid or Remote) jobs in United States
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Mapfre · 16 hours ago

Claim Rep, Subrogation (Hybrid or Remote)

MAPFRE is a global insurance leader focused on trust, collaboration, and inclusion. The role involves investigating, evaluating, and settling first- and third-party subrogation claims while ensuring adherence to customer service standards and departmental procedures.

InsuranceLife InsuranceProperty Insurance

Responsibilities

Understand and comply with all customer service standards
Assure adherence to internal and external claims handling procedures, workflows and standards
Assure that verbal and written communications are timely, clear, concise and empathetic
Effectively manage ACD telephone system/features by complying with Log In/Log Out, AUX and ACW expectations and standards
Conduct thorough and prompt investigations of accidents to make timely coverage and liability determinations
Recognize customer service opportunities and promptly respond to customers’ needs
May develop rapport and build relationships with regional claims office staff
Investigate and negotiate settlement of claims within approved authority levels for the most appropriate percent attainable while considering costs and meeting departmental standards
Utilize available databases to effectively manage assigned claims
Ensure that all parties involved in a loss are contacted to make an accurate determination as to coverage and liability while identifying claim exposures
Achieve Subrogation Department standards through proper management of assigned caseload
Maintain current diary status and meet open/close productivity standards
Assure timely authorization and adjustment of direct third party rental claims if applicable
Adhere to established practices and procedures as well as applying existing state laws and regulations
Acquire expertise in the usage of MS Word Letters and Forms
Investigate and evaluate liability and apply the correct state laws regarding comparative negligence and joint tort feasor
Actively participate in subrogation training modules, demonstrating appropriate levels of technical and procedural job knowledge
Identify and investigate potentially fraudulent claims and develop action plans with supervisory assistance
Secure monthly payment plans and submit license revocation requests when appropriate
Address Division of Insurance correspondence and bad faith allegations and prepare responses with supervisory assistance
If needed, develop knowledge of the multi-state auto policies and homeowner policy and coverages; especially understand how the various state policies apply deductible provisions for uninsured motorist and recovery for PIP and Med Pay benefits
If needed, secure monthly payment plans and submit license revocation requests when appropriate
If needed, respond to incoming PD, PIP and Med Pay arbitrations and issue payment on these claims as warranted in a timely manner
Attend and participate in unit/department meetings. Build effective and professional business relationships
Foster teamwork within the unit/department
Demonstrate commitment to company standards, procedures, and expectations
Embrace our Ten Caring Corporate Values and Customer Service Profile in daily interactions
Management has identified this position to require essential personnel. In the case of severe weather or other emergency situations, specific key individuals who are in this position will be required to report to work, regardless of the company being closed

Qualification

Subrogation claims handlingLiability evaluationCustomer serviceTechnical knowledgeNegotiation skillsInterpersonal skillsVerbal communicationWritten communicationTeamwork

Required

Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience
0 - 2 years of experience - or Associates Degree equivalent plus 2 - 4 years experience
Experience should include a minimum of one year Contact Center Claim Services or equivalent
Excellent customer service and interpersonal skills are a must
Effective verbal and written skills are necessary
Demonstrate the willingness/ability to obtain out of state license(s) in conjunction with departmental objectives/needs

Benefits

Competitive health coverage
Retirement plans
Paid time off
Flexible work options
Lifestyle perks like employee discounts
Tuition reimbursement
Leadership programs
Internal mobility opportunities

Company

MAPFRE a global insurance company.

Funding

Current Stage
Public Company
Total Funding
$1.16B
2026-01-14Post Ipo Debt· $1.16B
2022-03-09Acquired
2000-01-07IPO

Leadership Team

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Dan Olohan
Chief Operations Officer
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Jaime Tamayo
CEO INTERNACIONAL
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Company data provided by crunchbase