The Claims Technical Specialist plays a critical role in driving claim efficiencies and managing complex claims. This position involves a combination of technical expertise, leadership, and mentorship. Here are the key responsibilities:

Subrogation Pursuit:

SIU (Special Investigations Unit) Management:

Employee Claims Management:

Coaching and Mentoring:

What will you do?

Handle large complex files for subrogation

• Review, investigate and assess new claims as they are referred and ensure that required expert vendors are involved in a timely manner.
• Ensure that responsible parties are placed on notice and the Demand & Subrogation Documents are sent to the responsible parties accordingly.
• Engage legal counsel as soon as the need is identified. Ensure that legal limitation dates are protected where we intend to pursue recovery or are still investigating, while also ensuring our clients are kept apprised of recovery efforts.

Handle large complex files for SIU

• Review and handle SIU files to ensure that they are ready to be referred to SIU and that all necessary information gathering is completed prior to referral.
• Work with the SIU team and participate in the investigation as needed.
• Ensure that documents are sent to the necessary parties and act as the primary point of contact with the insured and the broker.

Employee Claims Management

• Assist employees with their claims, ensuring timely processing and fair settlements.
• Provide guidance on documentation requirements and claims procedures.
• Maintain accurate records and communicate effectively with all stakeholders.
• Display strong work ethics while dealing with private and sensitive employee data.

Mentoring of APD Team

• Act as a technical resource for the APD team members.
• Providing assistance in the handling of files by all APD handlers to ensure they are given opportunities to learn how to manage complex and litigated files.
• Consult on requests for authorizations i.e. Reserve and Authority to abandon or settle claims within designation authority.

Handling files that are in litigation

• Handle files that are in litigation, working with counsel and attend settlement conferences and court proceedings as needed.

What will you need to succeed in this role?

• Secondary School/Community College education required, and Undergraduate degree will be preferred. It's an asset to have insurance certifications: CIP, CRM, CET, CSRP or other Specialty Insurance Cert, Law Degree.
• 5+ years of experience in Auto Physical Damage Claims Adjusting.
• 2+ years of Subrogation experience.
• Experience handling Subrogation claims.
• Experience handling SIU claims.
• Proven ability to handle complex claims.
• Coaching and mentoring.
• Time Management, Analytic and Negotiation.
• Communication – Verbal and Written.
• Litigation Management.
• Experience in handling Auto claims.

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