Workers' compensation Subrogation Examiner

TRISTAR RISK MANAGEMENTAtlanta, GA
$29 - $31Onsite

About The Position

Perform Workers Compensation, subrogation and recovery tasks within the claims handling guidelines and in accordance with established Best Practices.

Requirements

  • High school diploma, GED, 2 years of college or equivalent work experience
  • 2-5 Years of Workers Compensation Subrogation Recovery Experience
  • Multi-jurisdictional workers' compensation subrogation handling
  • Familiarity with New York Labor Law/New York Scaffold Law
  • Additional experience with construction-related and complex claims
  • Basic proficiency with email applications, as well as common office applications (email, Word, Excel basic, PowerPoint)
  • Demonstrated verbal and written communications skills.
  • Demonstrated advanced analytical, decision making and negotiation skills.
  • Computer proficiency.
  • Ability to communicate effectively and clearly, both orally and in writing.
  • Ability to manage relationships in a fast-paced environment, while demonstrating problem solving and decision-making skills to work with customers.
  • Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions with a minimal amount of supervision.
  • Excellent customer service skills.
  • Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.
  • An ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
  • Time management skills, organizational skills, and ability to prioritize issues and tasks.
  • Ability to effectively operate computer equipment and applications.
  • Independence, flexibility, and creativity.
  • Follow one- or two-step instructions, routine, repetitive task.
  • Add, subtract, multiply, and divide whole numbers.
  • Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and the number of children; guide people and provide primary direction.
  • Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
  • Far vision: clarity of vision at 20 feet or more
  • Near vision: clarity of vision at 20 inches or less
  • Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
  • Kneeling: Bending legs at knee to come to a rest on knee or knees.
  • Reaching: Extending hand(s) and arm(s) in any direction.
  • Standing: Particularly for sustained periods of time.
  • Walking: Moving about on foot to accomplish tasks, particularly for long distances.
  • Pushing: Using upper extremities top press against something with steady force
  • Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion.
  • Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.
  • Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling.
  • Grasping: Applying pressure to an object with the fingers and palm.
  • Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
  • Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts.
  • Repetitive Motion: Substantial movements (motions) of the wrists, hands, and/or fingers.

Nice To Haves

  • Prefer candidates with auto subrogation recovery experience.
  • Ability to respond to requests effectively and efficiently and exhibit good common sense.
  • Ability to manage relationships in a fast-paced environment, while demonstrating problem solving and decision-making skills to work with customers.
  • Ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
  • Ability to effectively operate computer equipment and applications.

Responsibilities

  • Identify subrogation opportunities through review of loss information and FNOL data.
  • Place carriers on notice of subrogation
  • Perfect the lien and manage contact with claimants and their legal representatives.
  • Obtain documents supporting subrogation from clients.
  • Submit demands for subrogation.
  • Affect subrogation recovery.
  • Set reserves, post recoveries, track financial elements.
  • Tasks as directed by leadership.
  • Mentor team members pursuant to subrogation best practices to enhance technical knowledge and efficiency
  • Collaborate with leadership and legal counsel on litigation, arbitration, and mediation strategies
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