Senior Executive

Evaluate documents and proofs to determine who to pursue for subrogation, issue demands to third-party carriers (TPC), follow up via calls and emails, and send cases to collections if the adverse party is uninsured. Engage in discussions and negotiations with TPC after issuing demands, coordinating with TPC, insured parties, and vendors to drive recovery to closure. For arbitration, write contentions defending the insured, file them in the arbitration forum along with proofs and scene diagrams.Band A & B High School Diploma. Band A: 6 - 12 months experience in P&C Insurance - claims / Recoveries / Subrogation/ Claim adjudication Use judgment skills to review the available documents for subrogation
Analyze liability issues with claims to determine if there is evidence to pursue recovery from the third party
Evaluate facts and evidence, liability, amount of damage and other factors
Identify if the claim has subrogation potential or not. Assign next strategy accordingly
Collect and upload supporting documentation for subrogation
Analyze liability issues with claims to determine if there is evidence to pursue recovery from the third party
Evaluate facts and evidence, liability, amount of damage and other factors
Communicate subrogation needs and investigation strategies to frontline adjusters
Collect and upload supporting documentation for subrogation
Use judgment skills to review the available documents for subrogation
Ensure all required evidence & documents are available
Identify and upload supporting documentation before moving the case to next strategy
Issue demand notices in accordance to client requirements and state specific regulations
Make initial contact with responsible parties or their insurance companies to obtain contact information and payment status
Provide detailed updates on claim status through emails , letters & calls
Submit files to Arbitration if required based on damage analysis
Refer case to outside collection agencies and attorneys when necessary Negotiate and settle subrogation claims with attorney�s, adverse carriers, or at fault parties