Description
This role is responsible for assessing claims for subrogation potential by identifying responsible parties, determining theories of liability, and evaluating applicable third-party insurance coverage with the goal of recovering claim funds from the appropriate sources. This position involves communication with Member representatives, third-party insurance carriers, and uninsured responsible parties, both verbally and in writing.
Essential Functions
Required Responsibilities*
Evaluates claim assignments to determine subrogation viability.
Prepares and sends notices and demand letters to third-party carriers and uninsured parties.
Responds to Letters of Representation from workers’ compensation claimant attorneys.
Communicates status and final outcome of subrogation claims to Member contacts.
Conducts docket reviews to identify claims requiring escalation or follow-up actions.
Negotiates settlements with third-party insurance carriers and other responsible parties.
Processes subrogation recoveries and deductible reimbursements.
Prepares cases for closure or potential litigation.
Processes recovery checks for claims.
* The above responsibilities are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required by the position. All employees may have other duties assigned at any time.
Job Requirements
Education, Work Experience, Certifications
RequiredB.A. or B.S. degree in Business, Insurance, Risk Management, or a related field
Years of Experience: 1
Area of Experience: Subrogation, Liability, Property Claims, Workers’ Compensation Claims, or a related field
Insurance Adjuster License
Equivalent combinations of education and experience will be accepted
PreferredProperty/Casualty License
Essential Competencies and Skills
Required
Experience in the Property and Casualty Insurance Industry
Possess knowledge and understanding of relevant laws, rules, and regulations
Proficiency in Adobe Acrobat Pro
Proficiency in MS Excel
Proficiency in MS Word
Proficiency in MS Outlook
PreferredProficiency in MS PowerPoint
Proficiency in Guidewire ClaimCenter
** To perform this job successfully, an individual must be able to perform each primary responsibility satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary responsibilities.
Supplemental Information
Work Leadership Requirements
This position is not a people manager.
This position does not have indirect reports.
Travel Requirements None
Physical RequirementsBe able to withstand typical office work that includes periods of sitting, standing, typing, etc. indoors.
In addition to typical office work, must be able to exert up to 10 pounds of force occasionally to move objects.
Requires close visual acuity to perform an activity such as preparing and analyzing data and figures, viewing a computer screen, visual inspection, assembly of parts, or extensive reading.
Ability to be at work on-site when needed.
Must be able to operate standard computer hardware.
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Additional Information:
Equal Opportunity: The Texas Municipal League Intergovernmental Risk Pool is an Equal Opportunity Employer and welcomes applications from all qualified applicants. We do not discriminate on the basis of race, color, religion, sex, national origin, age, marital status, medical condition, disability, or sexual orientation.
Reasonable Accommodation: The Texas Municipal League Intergovernmental Risk Pool makes reasonable accommodations for the disabled. If you believe you require special arrangements to participate in the testing process, you must inform the People Resources Department in writing no later than the filing date. Applicants who request such accommodation must document their request with an explanation of the type and extent of accommodation required.