Sr Claims Case Manager - PECO (Hybrid)

PECO • Eddystone, PA

12d • Hybrid

About The Position

Exelon is leading the energy transformation and is seeking problem solvers, innovators, community builders, and change makers to deliver solutions that make diverse cities and communities stronger, healthier, and more resilient. The company is committed to creating an environment where every person can thrive, focusing on purposeful careers, growth opportunities, community impact, and support to thrive. Exelon is a Fortune 200 company with 20,000 colleagues serving over 10.7 million customers across six energy companies. They are dedicated to elevating diverse voices, fresh perspectives, and bold thinking to transform the future of energy, offering competitive compensation, incentives, excellent benefits, and rewarding career opportunities.

Requirements

• Bachelor's degree and 4-7 years of relevant investigative, claims or insurance experience, OR in lieu of a Bachelor's degree, 6-9 years of business experience, at least 6 of which must be relevant investigative, claims or insurance experience.
• Ability to handle a heavy caseload and a rapid pace.
• Self-motivated requiring minimal supervision.

Nice To Haves

• 10+ years of relevant investigative, claims or insurance experience
• 3 to 5 years of utility experience
• Active Claims Adjuster license (If applicable to position location)

Responsibilities

• Lead the investigation, management, and resolution of third-party claims against the company, including field investigation of bodily injury and property damage claims.
• Handle high-profile cases with significant financial and reputational exposure, as well as evaluate, manage, and adjust claims.
• Investigate and pursue recovery for motor vehicle-related subrogation claims.
• Direct and conduct field and internal investigations of property damage, bodily injury, and fatality cases with appropriate partnership and oversight.
• Assist in the oversight, auditing, training, coaching, and mentoring of Claims Case Managers.
• Assist in collecting and reviewing claims data to prepare responses to data requests from internal and external partners.
• Enhance data integrity through coaching and routine collaboration with Claims Case Managers.
• Assist in onboarding new claims department employees and facilitating the retention and transfer of institutional knowledge.
• Obtain, retain, and preserve physical evidence appropriately.
• Retain and partner with external experts to support claim evaluation, defense, and resolution.
• Utilize claims adjuster, case handling, investigative, and people skills to mitigate financial risk, impact, and loss to the company.
• Evaluate claim values and establish appropriate reserves.
• Analyze liability and evaluate financial risk to the Company on bodily injury and property damage losses.
• Document claim progress and investigation thoroughly.
• Prepare summaries, written reports, and case analyses.
• Partner with the Legal and Litigation Departments to investigate, evaluate, litigate, negotiate, and resolve matters.
• Support Legal and Litigation in the litigation of claims cases, including the discovery process.
• Support the loss prevention process.
• Provide on-call response to emergencies and significant events, including working extended hours for coverage during storms or other emergencies.
• Direct, perform, and coordinate field investigation of property damage, bodily injury, fatality, automobile accidents, fires, gas, environmental, company damage, and other incidents involving potential liability issues on a 24-hour basis.
• Respond to and coordinate the investigation of major incidents (gas explosions, fires, electrocutions) including significant company damage events on a 24-hour basis.
• Interview customers/claimants, witnesses, employees, contractors, etc., to obtain facts of incidents.
• Conduct thorough internal and external investigation, collecting, preserving, and evaluating documents and evidence.
• Prepare thorough and clear written investigation reports, letters, and other documents.
• Adjust claims efficiently and effectively, evaluate damages, determine liability, analyze losses, develop settlement strategies, and negotiate cost-effective settlements.
• Communicate claims decisions and/or denials respectfully and appropriately.
• Thoroughly, timely, and accurately document and actively manage assigned claims to bring them to efficient and appropriate resolution.
• Conduct and support site investigations with appropriate expert support.
• Cooperate with the Legal department in support of litigation of cases brought against the company.
• Assist in collection and review of claims data for responses to data requests (e.g., rate case support).
• Provide educational and consultative services to internal and external constituents.
• Participate in other department business and accomplishment of work and goals.
• Serve on Root Cause and/or Apparent Cause Investigations Teams.
• Perform comprehensive field and internal investigations.
• Assist in data collection and review for comprehensive and accurate preparation of data request responses from internal and external partners, including rate case support, insurance support, Board and other executive requests.

Benefits

• Annual salary will vary based on a candidate’s skills, qualifications, experience, and other factors: $83,200.00/Yr. – $114,400.00/Yr.
• Annual Bonus for eligible positions: 15%
• 401(k) match and annual company contribution
• Medical, dental and vision insurance
• Life and disability insurance
• Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave
• Employee Assistance Program and resources for mental and emotional support
• Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and fitness reimbursement
• Referral bonus program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior