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Form of workJob Description
Reporting directly to the Subrogation Manager, the Subrogation Specialist is responsible for managing all Subrogation claims assigned to them for recovery and managing all collection efforts in maximizing subrogation recoveries for the department. The Subrogation Specialist is responsible for identification, research, and recovery of Subrogation claims. The specialist identifies legally responsible entities and pursues, negotiates, and settles Subrogation collections from all parties such as legally liable parties, claimant carriers, Uninsured Motorists (UM) Insured Attorneys (in the case of Medical Payment (Med-Pay recoveries).
DUTIES AND RESPONSIBILITIES:
1. Have knowledge of pertinent litigation and collection guidelines including Fair Debt Collection and Practices Act (FDCPA) and/or state laws, as well as CA DOI Fair Claims Regulations
2. Work and maintain new incoming Subrogation files received in the “Subro-In-Box”
3. Oversee their assigned files in the Aspire Claims System, using the task-diary system to stay up to date on tasks whenever possible to effectively bring files to a conclusion.
4. Use company tools at our disposal to help affect recoveries such as ISO, TLO, Internet-Searches.
5. Interact with Subrogation- CSR for any needed follow up or use of tools such as requesting MVR & CVR requests. Utilizing skip tracing, when appropriate, to determine when it is best to seek recovery versus discontinuing subrogation efforts.
6. Ensure ongoing adjudication of claims within company standards and industry best practices and regulations.
7. Determine, recommend, and prepare files for litigation. Use judgment in deciding the cost effectiveness of using outside subrogation counsel versus the likelihood of receiving an actual subrogation recovery.
8. Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation.
9. Maintain and document all Subrogation files that are assigned for recovery.
10. Provide feedback to Management on process and system improvement initiatives for the department.
11. Report to Management as soon there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise.
12. Comply with state and federal laws, Department of Insurance regulations, insurance carrier best practices and follow and enforce Aspire General Insurance Company and partner’s policies, procedures, and work rules.
13. Regular and predictable punctuality and attendance.
14. Ability to achieve targeted performance goals.
15. Evaluating potential recovery and determining the feasibility of maximizing recovery efforts from individuals, companies, and insurance carriers.
16. If necessary, make court appearances such as being the person most knowledgeable about a claim file or as a custodian of records.
QUALIFICATIONS AND SKILLS:
1. 1-2 years’ experience in subrogation and collections and or 2-4 years as a liability adjuster
2. Must have a clear understanding of insurance industry practices, standards, and terminology.
3. Must be able to pass a background check.
4. Must have the ability to work in a high volume, fast paced environment while managing multiple priorities.
5. Must have a disciplined approach to all job-related activities.
6. Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills.
7. Must have strong keyboard skills as well as proficiency in Windows and MS Office products.
8. Work effectively with other team-members.
9. Must have excellent judgment in decision-making.
10. Strong organizational skills.
