Subrogation Specialist - Medical Payments (Remote)

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Job Title

Subrogation Specialist - Medical Payments (Remote)

Requisition Number

R7551 Subrogation Specialist - Medical Payments (Remote) (Open)

Location

Colorado - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}

Job Information

CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of the culture we create together. As we commit to progress over perfection, we recognize that every day is an opportunity to be innovative and adaptable. At CSAA IG, we hire good people for a brighter tomorrow. We are actively hiring for a Subrogation Specialist - Medical Payments position! Join us and support CSAA IG in achieving our goals.     

Your Role:

As a Subrogation Specialist – Medical Payments Specialist, you are responsible for handling incoming calls and managing a designated volume of arbitrations, including initiating arbitration and cross-applying between companies on disputed Medical Payments and Personal Injury Protection (PIP) claims. The role involves investigating and researching losses to determine best practices for subrogation and securing the company’s rights of recovery from insureds or other responsible parties. You will determine appropriate recovery methods, including internal subrogation, external agencies, or outside counsel, place all parties on notice to protect the maximum recoverable amount, and handle disputed liability claims and out-of-state losses. 

Your work:

• Handle an inventory consisting of automotive damage, disputed liability, and cross jurisdictional claims.
• Initiate and hear arbitration between companies on disputed liability and/or damage claims.
• Negotiate and conclude recovery settlements (within authority) while maintaining strict regulatory compliance.  
• Conduct themselves professionally and with positive behavior.
• Display values consistent with CSAA Insurance Group.
• Investigate, evaluate, negotiate, and settle auto claims within draft authority.
• File and hear arbitrations as required.
• Determine the appropriate collection method.

Required Experience, Education and Skills:

• 3+ years of automotive claims liability experience required.
• General or advanced knowledge of Department of Insurance regulations and compliance requirements.
• Strong customer service and negotiation skills.
• Proficient analytical, problem-solving, prioritization and organizational skills.
• Basic math and computer skills.
• Strong oral and written communication skills.
• Ability to type 50 wpm.
• Ability to work in a team environment.
• Ability to take direction and act accordingly.
• Critical thinking and strong logic and reasoning skills.
• High school diploma/GED or equivalent combination of education and experience.

What would make us excited about you? 

• Medical Payments, PIP, Bodily Injury claims preferred
• General understanding of different lines of coverage (i.e., homeowners, auto, personal property) preferred.
• Advanced knowledge of Department of Insurance regulations and compliance requirements
• BA/BS in Business, Insurance or related area, or equivalent experience preferred.
• Shows respect for differences through excellent communication skills with people from an array of backgrounds. 
• Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)