Subrogation Claim Representative I

Ccmsi • Phoenix, AZ

2d • Hybrid

About The Position

The Subrogation Representative is responsible for managing the investigation, evaluation, and recovery of assigned Workers’ Compensation and Multi-Line claims. This role focuses on identifying recovery opportunities, pursuing subrogation actions, and contributing to favorable claim results. As a developmental position, it provides valuable experience and growth opportunities for advancement into senior-level claims positions. Success in this role is measured by the delivery of exceptional claim services, adherence to CCMSI’s claim handling standards, and a commitment to exceeding client expectations.

Requirements

• Proven negotiation and settlement skills.
• Strong business communication skills, both written and verbal.
• Knowledge of liability determination and recovery principles.
• Understanding of Arizona (AZ) jurisdiction and applicable workers’ compensation/subrogation laws.
• Strong analytical and investigative abilities.
• Excellent organizational and time-management skills.

Nice To Haves

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required
• Arizona (AZ) Adjusters' license is strongly preferred.

Responsibilities

• Identify and assess potential subrogation opportunities on Workers’ Compensation and Multi-Line claims.
• Investigate, evaluate, and manage subrogation claims in compliance with applicable laws, regulations, and established claim handling standards.
• Analyze liability exposures and proactively pursue recovery efforts against responsible third parties.
• Collaborate with claims adjusters to coordinate and support additional investigative activities as needed.
• Issue lien notifications to all applicable parties and provide regular updates regarding claim payments and lien balances.
• Evaluate, negotiate, and resolve subrogation claims in accordance with Corporate Claim Standards, client-specific requirements, and applicable state regulations.
• Maximize recovery opportunities through strategic negotiation and jurisdictionally appropriate subrogation actions.
• Research claim payments, respond to inquiries, and coordinate activities with internal departments, insurance carriers, attorneys, and other stakeholders.
• Monitor statutes of limitation and evaluate claims for referral to subrogation counsel when civil litigation is warranted.
• Partner with and support subrogation counsel throughout the recovery process.
• Assist in the selection, assignment, and oversight of external vendors, including legal counsel, surveillance providers, and case management resources.
• Maintain accurate and timely claim documentation, diaries, and activity records within the claim management system.
• Adhere to client-specific claim handling guidelines and service expectations.
• Ensure clear, professional, and timely communication with clients, claimants, and all relevant parties throughout the life of the claim.
• Provide guidance and training to adjusters on identifying and developing potential subrogation recovery opportunities.
• Participate in claim reviews and strategy discussions as requested.
• Attend and actively participate in hearings, mediations, settlement conferences, and other legal proceedings as appropriate.
• Maintain compliance with Corporate Claim Handling Standards, regulatory requirements, and special client handling instructions.

Benefits

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed