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Utica Mutual Insurance Company
Senior Claims Specialist - Subrogation
Career Insights for Claims Adjuster / Specialist (General)
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$81,405 / year median in New York
+2% projected growth
Job Description
The Company At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte. What you will do The Senior Claims Specialist - Auto & Property Subrogation will be responsible for pursuit of liable entities through a variety of avenues, including Arbitration Forums, E-Subro Hub, Restitution, Collections Vendors, Litigation, Installment Agreements, etc. The Specialist will collaborate with assigned claim handlers to investigate & resolve cases in a timely manner. Contribute to decision making as an Arbitration Panelist through Arbitration Forums. Key responsibilities Identify and pursue all potential avenues of recovery on any viable claim. Investigate and review all claim activity, and if necessary, direct non-injury or bodily injury representative to obtain additional evidence to finalize & determine Founders coverage and/or liability position. Gather payments, supports, data, and other relevant materials in support of any subrogation claim. Pursue subrogation recovery from all appropriate parties who are legal liable for damages via Arbitration Forums, Collections Agencies, Litigation and/or Court Restitution. Adjust, negotiate, and settle subrogation claims in a prompt manner. Request Authority for settlement as warranted. Attend settlement conferences, mediations, and/or Arbitrations as mandated by the courts in cases involving Litigation. Consult direct supervisor on all decisions which require waiver of subrogation rights and pursuit. Request checks in settlement of subrogation claims and in satisfaction of Arbitration Forum decisions. Maintain a strict diary on all active files. Document clear and specific notes in the claim file for all active subrogation claims. Attend training to be proficient in all claim systems to assist other division(s) as warranted. Attend training to become a Certified Arbitrator through Arbitration Forums, hear cases as a panelist Performs other duties as assigned. Conforms with all corporate policies and procedures. Broad knowledge and understanding of the law and claim practices. Reviewing court decisions, law and coverage interpretations. May assume duties of the Claims Supervisor in the Supervisor's absence. What you need 4-year degree or equivalent experience. At least 2 years as a Claims and/or Subrogation Specialist required. Prior experience with Arbitration and/or Litigation preferred. Property experience is a plus, but not required. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.