PIP Adjuster

The Arbitration Subrogation Specialist is responsible for the recovery of subrogation claims from insurance carriers and self-insured entities. These claims could also involve multiple tortfeasors. The majority of these claims would be carrier to carrier claims but the Specialist III could also work consumer, auto, property and medial/PIP claims if the workload dictates. Responsibilities include working with our clients, insured, claimants, and local and state government offices, appropriately documenting information to achieve recovery of these subrogation claims. If you are hired for a remote/work at home position, we will provide the equipment required to fulfill the role

Essential Functions and Responsibilities:

The Subrogation Specialist III may perform some or all of the duties listed below:

1. Process carrier to carrier subrogation files in varying lines of business including property, restitution and product liability.
2. Review files using a diary system in order to handle correspondence.
3. Respond promptly and professionally to client, insured, carrier requests as well as other incoming calls.
4. Choose course of action with regard to new subrogation files to assure cost effective resolution.
5. Review files for adequacy of investigation and measure of damages to determine whether to pursue arbitration.
6. Prepare and review the initial content of each file while documenting and tracking all ongoing verbal and written correspondence in the SCP & Nuvue systems as well as applicable client systems.
7. Process letters and authority requests.
8. Research the application of laws and statutes as it applies to specific claims in each state.
9. Negotiate adjusted settlements with claimants, carriers and attorneys.
10. Prepare and distribute settlement offer information to client.
11. Assist the Specialist I and II with day to day questions and system restraints.

Arbitration specific responsibilities:

• Respond professionally and promptly to telephone calls and emails from client brokers, insured, general adjusters, claimants, witnesses, attorneys, and underwriters.

• Review files using a diary system in order to handle correspondence.

• Prepare and review the initial applicant Arb, counter and response/counter Arbitrations

• Research the application of laws and statutes as it applies to specific claims in each state.

• Communicate effectively with insured, general adjusters, claimants, witnesses, attorneys, experts and underwriters in order to obtain and or provide necessary information.

• Determine appropriate claim amounts and review subrogation. Evaluate claims based on information and liability factors.

Job Requirements:

Minimum Job Requirements (Education, Experience, Skills):

1. High school diploma or GED, college degree preferred
2. Five to eight years of proven subrogation or claims experience that includes substantial exposure to carrier to carrier claims is preferred

3. Three to five years previous Arbitration writing experience is preferred.

1. Ability to type 30 WPM with 85% accuracy
2. Appraisal certification may be required
3. Ability to work independently
4. Successful completion of relevant insurance industry courses strongly preferred
5. Property, medical pay and workers compensation experience is preferred
6. Strong analyzing and negotiating techniques
7. Excellent organizational and time-management skills
8. Responds to internal and external requests in a timely manner and works to deliver quality service. Consistently demonstrates accuracy and attention to detail
9. Communicates clearly and logically using appropriate written and oral techniques Seeks clarification for unclear or missing information
10. Demonstrated reasoning and problem solving abilities
11. Ability to build and maintain relationships
12. Work with sense of urgency
13. Demonstrates a sincere interest in listening to and responding to customer concerns and solving their issue in a timely manner
14. The ability to work independently and interact well within a team environment