Subrogation Examiner

Grow your Career with CSE Insurance Group!
We are currently seeking a Subrogation Examiner to join our Claims team. Our team members play an integral role in the innovation and growth of our organization.
Join CSE and be part of the excitement. You'll love our stuff!
SUMMARY:
Under general direction of the Sr. Director of Quality, Compliance and Subrogation, the Subrogation Examiner is responsible for recovering claims monies the company is legally entitled to recover from third party tortfeasors. The Subrogation Examiner is responsible for analyzing claims files and determining the recovery potential, setting recovery reserve and managing the recovery efforts in a cost-effective manner
ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Review and analyze claim files for third party recovery potential
  • Procure Medical Payments reimbursement from first party claimants, as allowed under the policy(s)
  • Prepare subrogation demand packages for submission to other carriers or independent tortfeasors
  • Negotiate settlements and authorize repayment plans as needed
  • Handle incoming material damage demands from other carriers
  • Post recovery checks to the claims system
  • Maintain an effective diary system and fully document all subrogation recovery efforts
  • Work closely with the field claims examiner to obtain needed investigation in support of the subrogation claim
  • Prepare and submit disputed cases to Arbitration Forums
  • Conduct skip traces, asset searches, ISO checks, vehicle records check
  • Identify and proactively pursue all avenues of recovery
  • Review, monitor and control progress and expense of pending subrogation claims
  • Comply with the Company's Claims Department's Best Practices and all state regulatory requirements
  • Exercise discretion and sound judgement which may have an impact on the company in areas such as expense and customer loyalty
KNOWLEDGE, SKILLS AND ABILITIES:
  • Excellent Customer Service skills
  • Strong knowledge of Fair Claims Practices in all of the company's operating states
  • Strong knowledge of the rules governing Arbitration Forums
  • Excellent verbal & written skills to effectively negotiate with other carriers, tortfeasors, attorneys as well as effectively communicate with our customers
  • Strong analytical skills
  • Detail oriented and able to multi-task in a fast-paced environment
  • Proficiency in Word, Excel, PowerPoint
  • Is receptive to feedback and willing to learn, embracing continuous improvement.
  • Ability to deal effectively with individuals at all levels and attain desired results.
  • Must have the ability to collaborate with cross-functional team to achieve business results.
  • Works well under stress and tight deadlines
  • Effective communication, presentation, negotiation and persuasion skills.
  • Balances listening and talking, speaking and writing clearly and accurately, influencing others and keeping others informed.
  • Achieves a standard of excellence with work processes and outcomes, honoring company policies and regulatory compliance.
  • Team oriented, building strong working relationships and a positive work environment.
  • Is receptive to feedback and willing to learn, embracing continuous improvement.
REQUIREMENTS:
  • Minimum of 3 years of Subrogation and/or Material Damage claims experience

EDUCATION:
  • Bachelor's Degree
COMPANY BENEFITS
At CSE, we offer a competitive benefits package (to include profit sharing and 401K match) complemented by work-life balance programs to support our employees.
Who We Are
CSE Insurance Group is a multi-line provider of personal, commercial property and casualty insurance recognized for its fairness, integrity and exceptional service.
A community of good people define our company
CSE Insurance Group is a local company. Our community is your community. Being good people defines us and the agents that represent our products.
What We Do
Protect with well-made insurance, delight with exception service
Our customers deserve exceptional service and well made, high-quality insurance at a reasonable cost. They should feel positive about the protection CSE insurance provides.
How We Think
Create confidence in our customer's mind everyday
Every time we connect with you is an opportunity to express our purpose - to exemplify the integrity we demand of ourselves and our company.
Additional Information


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