Claims Examiner

• Investigate each claim to evaluate the cause of the loss and determine subrogation potential
• Identify opportunities for subrogation and refer files to subrogation partner for recovery
• Manage claim investigations and ensure viability of subrogation recovery opportunities
• Identify adverse at-fault parties, insurance carriers, or legal representatives
• Identify the need for outside experts and attorneys and manage their involvement in the claim process
• Establish scope of recovery, determine subrogation potential, and set appropriate reserves
• Negotiate settlements with adverse parties, insurance carriers, or legal representatives
• Manage assigned claims through timely conclusion using a working diary
• Manage cycle times and experience through file review and timely disposition
• Present recovery outcomes to customers
• Identify fraud indicators and submit referrals to EFW and SIU as needed
• Issue settlement payments within the scope of coverage and authority
• Refer files for arbitration filing and/or response
• Work with assigned vendors to ensure expectations are met
• Communicate with customers, witnesses, and adverse parties throughout the claim process
• Handle incoming and outgoing phone calls professionally
• Prepare written communications such as requests for recovery
• Guide customers through the claim recovery process and keep them informed
• Compile reports for management review
• Accept and record settlement payments received
• Update and document claim files with all processing activities
• Provide education and guidance to examiners and adjusters on subrogation identification and handling
• Work on special projects and perform other duties assigned by the supervisor
• Travel as needed for claims and agency visits

Explore Subrogation Examiner, Auto Claims at NYCM Insurance. Review requirements and application details.