National Indemnity Company · 3 hours ago
Claims Recovery Representative - Workers' Compensation
Remote USA
Full-time
Remote
Entry, Mid Level
$65K/yr - $85K/yr
2+ years exp
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Responsibilities
Effectively manages a caseload of lower to moderate exposure subrogation claims, providing quality claims service, and appropriate resolutions in accordance with our claims handling guidelines achieving prompt claim recoveries, effective claim cost containment, and achievement of Claims recovery goals.
Determines responsible parties and whether responsible parties are insured or have available assets. Conducts investigations that may include obtaining statements from witnesses, Insureds, and third parties and/or assigning experts to analyze and/or obtain necessary information. Directs experts during the course of investigation to gather evidence in order to prove liability and damages. Identifies and pursues recovery from responsible parties, their insurers, or both.
Issues demands and/or lien filings timely, and regularly contacts responsible parties and/or their insurers to ensure prompt and equitable payment and/or negotiated offsets.
Makes demands by telephone, letter, email, and/or other appropriate and approved means of communication to responsible parties and/or their insurers.
May contact local county or city attorneys to make restitution part of the criminal sentence and provides the necessary evidence to document the claim. Negotiates recovery of less than 100% when appropriate and within specified authority. Negotiates payment terms of promissory notes and customizes contracts for signature of debtor. Consults with management when recovery involves unusually complex issues or questions about liability or damages.
Maintains and regularly utilizes a diary system to ensure prompt follow up, completion of required actions and maximum available collection in all assigned files. Maintains Claim Files in all applicable claims systems. Determines and diaries statute of limitations date on all recovery files. Refers delinquent accounts to collection agency. Closes uncollectible files when situation demands.
Reviews open and closed Workers Compensation claims and evaluates for subrogation potential by a careful analysis of the facts surrounding the loss, the probable liability of each involved party, and the investigation needed to document the liability of and damages to be sought from the responsible party. Assists adjusters in identifying claims where subrogation and/or recovery opportunity applies as well as assists Recovery Unit Team Lead in the preparation and presentation of training modules to workers compensation adjusters.
Performs related duties as directed or as situation dictates, such as reviewing trade journals, case law, state statutes and insurance policies to remain current with changes in the law and coverages.
Completes oversight tasks on recovery referrals being handled by third-party administrators.
Identifies and prepares claims ideal for submission to arbitration, including drafting arbitration demands. Follow guidelines required by Arb Forums, including meeting necessary deadlines.
Assists Recovery Team in hearing arbitration matters of outside parties, as warranted in the Company’s agreement with Arb Forums.
Qualification
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Required
Bachelor’s Degree from an accredited four-year college or university
At least two years of related work experience as a workers compensation recovery professional. Additional experience working as a workers compensation adjuster is a plus.
Knowledge of insurance contracts, statutory and common law, as well as state statutes and case law in key jurisdictions.
Critical Thinking: the ability to think critically and adapt quickly in a flexible and dynamic environment as well as maintain an inquisitive approach to work; the ability to derive appropriate conclusions based on available information and apply on the job.
Communication Skills: the ability to express concepts accurately, concisely, and professionally in both written and verbal communication.
Initiative and Organizational Skills: the ability to manage time effectively by prioritizing tasks, setting goals, and developing systems to work efficiently in achieving those goals within required timeframes, all within a remote environment. The ability to work proactively and independently.
Good Judgment: the ability to make prudent and timely decisions on the job within one’s scope of authority as well as seeking management direction as appropriate.
Math Proficiency: the ability to apply concepts such as fractions, percentages, ratios and proportions to practical claims situations as well as the capacity to analyze data, perform analysis, as well as identify issues and trends.
Technological Capability: Claims technical acumen complimented by strong workers compensation knowledge; data analytic skills to perform solid data collection, analysis and reporting; proficient in Excel and other Microsoft Office programs; knowledge of claims software systems as well as the ability to competently navigate proprietary and vended software programs.
Interpersonal Skills: the capability to develop and foster working relationships with stakeholders, both within and outside the organization. The ability to work well and negotiate with others, especially in confrontational situations.
Benefits
Great work environment with growth opportunity
Subsidized downtown parking
Competitive compensation
Generous amounts of vacation and sick time
Closed on major holidays
401(k) with company match
A fantastic healthcare package
Tuition reimbursement after 6 months of employment
Company
National Indemnity Company
National Indemnity Company is the lead member of the National Indemnity group of insurance companies. It is a sub-organization of Berkshire Hathaway.
501-1000 employees
H1B Sponsorship
National Indemnity Company has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
2021 (3)
2020 (1)
Funding
Current Stage
Late StageRecent News
Morningstar, Inc.
2024-11-26
2024-04-06
2023-12-23
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