Sr Claims Case Manager - PECO (Hybrid)

Exelon•Plymouth Meeting, PA

37d•Hybrid

About The Position

PRIMARY PURPOSE OF POSITION Protect the Company's assets and self-insured retention by leading the investigation, management, and resolution of third party claims against the company, including the field investigation of bodily injury and property damage claims to include high profile cases with significant financial and reputational exposure, as well as the evaluation, case management and adjustment of claims. Investigate and pursue recovery for motor vehicle related subrogation claims. Direct and conduct the field and internal investigation of property damage, bodily injury, and fatality cases with an appropriate level of partnership and oversight. Assist in the oversight, auditing, training, coaching, and mentoring of Claims Case Managers. Assist in collection and review of claims data to prepare responses to data requests from both internal and external partners. Assist in enhancing data integrity through coaching and routine collaboration with Claims Case Managers. Assist in onboarding of new claims department employees and facilitating the retention of and transfer of institutional knowledge to aid in operational excellence. Obtain, retain and preserve physical evidence appropriately. Retain and partner with appropriate external experts to support evaluation, defense, and/or resolution of claims. Utilize claims adjuster, claims case handling, investigative, people skills and experience to mitigate financial risk, impact and/or loss to the company. Evaluate claim values and establish appropriate reserves on cases in accordance with established practices and procedures. Analyze liability and evaluate financial risk to the Company on bodily injury and property damage losses. Thoroughly document claim progress and investigation. Prepare summaries, written reports, and case analysis as required. 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 but not limited to the discovery process. Support the loss prevention process. Provide on-call response to emergencies and significant events. Position is required to work extended hours for coverage for storms or other emergencies.

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.

Nice To Haves

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

Responsibilities

Direct, perform, and coordinate field investigation of property damage, bodily injury, fatality, automobile accidents, fires, gas, environmental, company damage, and other incidents that involve potential liability issues for the company 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.
Efficiently and effectively adjust claims, evaluate damages, determine liability, analyze losses and where warranted develop a settlement strategy and negotiate a cost effective and appropriate settlement, and/or efficiently and respectfully communicate claims decisions and/or denials when appropriate. Thoroughly, timely, and accurately document and actively manage assigned claims to bring them to efficient and appropriate resolution.
Assist in the oversight, auditing, training, coaching, and mentoring of Claims Case Managers. Assist in onboarding of new claims department employees and facilitating the retention of and transfer of institutional knowledge to aid in operational excellence. Assist in enhancing data integrity through coaching and routine collaboration with Claims Case Managers to ensure consistency.
Conduct and support site investigations with appropriate expert support, as needed. Cooperate with the Legal department in support of litigation of cases brought against the company
Assist in collection and review of claims data to prepare responses to data requests from both internal and external partners, including e.g., rate case support
Provide educational and consultative services to internal and external constituents as appropriate.
Participate in other department business and accomplishment of work and goals as needed. Serve on Root Cause and/or Apparent Cause Investigations Team. All other duties as assigned.

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
And much more