Claims Adjuster

The Claims Adjuster - Subrogation will favorably impact claim cost containment and overall Claims recovery goals by managing a caseload of subrogation claims through quality and efficient claims service, proactive negotiations, and the achievement of prompt and appropriate claim recoveries.

How You’ll Do It

Claim Analysis

• Conduct additional investigation,  including securing newly developed evidence, to maximize subrogation recoveries cost-effectively for all lines of business.
• Determine the amount of potential subrogation recovery.
• Develop and implement a subrogation strategy and action plan for each assigned subrogation claim.
• Evaluate liability and conduct additional investigations, as warranted, in order to settle claims at optimal levels.

Communication

• Collaborate and communicate with front line adjusters to determine the most appropriate outcome, providing new facts as they become available and an analysis of their impact on the liability and settlement options.
• Issue subrogation notices in accordance with state specific regulations.
• Provide detailed updates on subrogation status to relevant stakeholders.
• Maintain proactive and collaborative contact with insureds, claimants, adverse third parties, attorneys, and front-line adjusters to optimize the recovery process. 
• Document subrogation action plan and recovery status in claim notes.

Negotiation and Recovery

• Negotiate worker’s compensation and commercial auto subrogation claims with carriers, other responsible party(s), and other legal representatives or attorneys on liability and/or damages. 
• Assist in the recovery of claim overpayments.
• Negotiate and compromise claim/lien settlement amounts based on the facts of each case.

The Right Stuff

• 2+ years experience in Workers' Compensation and/or Commercial Auto claims subrogation.
• Strong knowledge of insurance claim procedures.
• Strong written and verbal communication skills.
• Strong decision making and critical thinking skills.
• Strong negotiation skills.
• Ability to work in a fast paced environment with accuracy.
• Ability to learn quickly and take on new challenges and responsibilities.
• G-Suite Tools, Collaboration tools, Microsoft Office suite.
• High School diploma or GED required, Bachelor's Degree preferred.

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. All AI-reviewed applications are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.