Subrogation Specialist

Subrogation Specialist

CCMSI is Hiring! We're looking for a Subrogation Specialist to join our team. This role is hybrid, in our Maitland, FL office.

At CCMSI, we are employee-owned and committed to providing exceptional service. We offer manageable caseloads, extensive career development, and industry-leading benefits.

Why Join CCMSI?

Work-Life Balance Enjoy 4 weeks of PTO in your first year + 10 paid holidays Comprehensive Benefits Medical, Dental, Vision, 401K, ESOP & more Career Growth Structured training programs with opportunities for advancement Supportive Culture Work in an environment where your expertise is valued

About the Role

The Subrogation Representative position is responsible for the subrogation investigation and recovery of assigned Worker's Compensation and Multi-Line claims. This position may be used as an advanced training position for consideration of a promotion to a more senior level claim position. The Subrogation Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

Responsibilities

Essential Duties & Responsibilities :

• Identify subrogation potential.
• Investigate, evaluate and adjust subrogation claims in accordance with established claim handling standards and laws.
• Must be able to identify legal liability and aggressively pursue at fault parties.
• Coordinate further investigative needs in conjunction with adjusters' investigation.
• Place all parties on notice of lien and provide periodic updates on total payout / lien.
• Evaluate, negotiate and settle worker's compensation and multi-line subrogation claims in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Ensure maximum recovery against other responsible 3rd parties based on jurisdictional abilities as well as negotiating efforts.
• Assist in the recovery of overpayments for duplicate coverage, workers' compensation, and no-fault claims.
• Researches paid claims, answers inquiries, and coordinates with other departments, insurance adjustors, attorneys, and members.
• Drafting and forwarding letters to specific State's Attorneys requesting restitution in criminal proceedings; Upon disposition of criminal cases, if restitution is awarded, claim is documented and diary set for follow up on payments.
• Monitor statutes of limitations and evaluate, prepare and refer to subrogation counsel for civil filings as appropriate.
• Assist subrogation counsel as needed.
• Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Review and maintain personal diary on claim system.
• Client satisfaction.
• Prepare reports detailing claim status, payments and reserves, as requested.
• Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
• Prepare newsletter articles as requested.
• Provide notices of qualifying claims to excess / reinsurance carriers.
• Handle more complex and involved subrogation claims than lower level claim positions with minimum supervision.
• Conduct claim reviews and / or training sessions for designated clients, as requested.
• Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
• Performs other duties as assigned.

Qualifications

Qualifications :

Education and / or Experience

Working Conditions

Core Values & Principles

Responsible for upholding the CCMSI Core Values & Principles which include : performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.