Recovery Examiner I

National Indemnity Company•Omaha, NE

11h

About The Position

Reviews first party claims such as physical damage, cargo, PIP or Medical Payments claims referred by claims examiners with subrogation potential and/or unpaid premium claims. Conducts recovery investigation and manages recovery demands within authority. Files suit for subrogation demands that are denied.

Requirements

Bachelor's degree in related field or equivalent work experience.
One or more years work experience.
Interpretation and application of insurance contracts
Insurance claim procedures, loss evaluation methods and claim resolution alternatives
Insurance related courses such as AIC, CPCU
Investigation
Evaluation and analysis
Negotiation
Case management
Time management and prioritization
Excellent oral and written communication, especially with individuals outside the Company
Organize time and resources and handle multiple high priorities
Research and evaluate alternatives, reach decisions, and make recommendations
Maintain strict confidentiality
Meet deadlines
Work with detail with accuracy
Work well with others

Responsibilities

Reviews first party claims such as physical damage, cargo, PIP or Medical Payments claims referred by claims examiners with subrogation potential and/or unpaid premium claims.
Evaluates claims and amounts owed, determines and documents anticipated recovery.
Determines if third party coverage exists or assets are available by conducting an investigation, which may include obtaining statements from witnesses, insureds, and third parties and/or assigning adjusters or forensic engineers or accountants to obtain information and documents.
Directs independent adjusters and auditors during investigation to gather evidence to prove liability.
Reviews premium calculations, audit results, new evidence presented by insured, applicable legal standards, and other information to determine probable result of litigation to recover unpaid premium.
Makes demands by telephone or letter to the responsible parties or their insurance carrier(s).
Demands recovery from the insured where reimbursement is due to unpaid premium or a regulatory filing.
Initiates additional investigation such as ordering asset search to determine recovery potential.
Initiates skip traces to locate responsible parties.
Communicates by letter with Department of Motor Vehicles when a debtor defaults to suspend his driving privileges.
Contacts the local county or city attorney to make restitution part of the criminal sentence and provides the necessary evidence to document the claim.
Negotiates recovery of less than 100% when appropriate and within specified authority without prior approval.
Negotiates payment terms of promissory notes and customizes contracts for signature of debtor.
Consults with Manager or examiners when recovery involves difficult issues or questions about liability are to be resolved.
Determines when to file suit for subrogation demands that are denied.
Evaluates, selects, and directs attorneys during litigation and in the negotiation and settlement within established limits.
Submits affidavits and other required documents to attorney filing suit.
Maintains control of file to ensure cost effective recovery.
Obtains direction from Manager on difficult cases.
Attends mediation when required.
Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties.
Maintains a diary system to ensure prompt follow up and collection.
Maintains computerized databases using Claim Information Systems (CIS) to record incoming checks.
Determines and diaries statute of limitations date on recovery files.
Refers delinquent accounts to collection coordinator.
Closes uncollectible files when situation demands.
Obtain and maintain all required licenses and certifications; maintain current knowledge of insurance and claim management principles and practices through review of published opinions, trade periodicals and other professional literature and conferences.

Benefits

Employee Resource Groups for volunteering, connecting with others, social gatherings, and professional development.
Companywide surveys to seek employee input.
Wellness program integrated into Company culture with an online wellness portal.
Omaha office boasts a complimentary state-of-the-art onsite fitness center.
Robust wellness program.
Retirement and savings plan with immediate enrollment with 100% employer match up to 5%.
Medical, Dental and Vision for regular, full-time employees and eligible dependents.
Dedicated Learning & Development program for employees to grow personally and professionally.
100% upfront Educational Reimbursement program.
Subsidized downtown parking.
Competitive time off policies including parental leave.
Employee Assistance program.