[Hiring] Workers Comp Recovery Representative @Alacrity Solutions Group

Role Description

In this role, the recovery rep is responsible for the handing of the claim from investigation to recovery, including the potential to file Intercompany Arbitrations as well as work with counsels to achieve successful results. The Workers Compensation Recovery Representative position requires the subrogation professional to investigate losses sustained to injured workers to determine liability, gather critical information and evidence to pursue at-fault parties/carriers and negotiate settlements on behalf of our clients.

• Regular and reliable attendance is an essential function of this position.
• Investigation, negotiation, and recovery of first party Worker's Comp claim losses.
• Ability to negotiate within parameters of client authorization, and file arbitration or refer matters to subrogation counsel when necessary.
• The representative will seek to maintain 100% closing ratio through the appropriate disposition of cases assigned.
• Outstanding Customer Service is necessary, including all communications with clients, policyholders, adverse parties, adverse carriers, vendors, public adjusters, counsel, and virtually any person associated with the case being handled.
• All recovery representatives must familiarize themselves with Client Repository and Special handling located in RMS, and within each claim file.
• Receives, reviews new and re-assignments, and conducts investigation to determine and pursue subrogation.
• All new assignments must be worked within 24-hours of receipt.
• All emails must be zeroed out within 48-hours of receipt. All emails pertaining to a recovery claim must be copied and placed in the electronic file notes section in SpartanRMS.
• During the file review, the representative must take note of the Loss State, Negligence Rule, and Statute of Limitations on each file handled.
• The recovery representative is responsible for updating the claim Summary Screen to include the Cause of Loss, Case Highlights, Liability Assessment, and Plan of Action on every case as needed.
• Reviews and adds to the POI (Party of Interest) Module to capture all parties involved in the loss.
• All Statutes of Limitation must be acknowledged and adhered to.
• Sends Demands or Subro Notices out as early as possible on all cases assigned and diaries the case appropriately for follow-up.
• Looks to minimize cycle-time and bring every matter to conclusion as quickly as possible.
• Understands the complete tenants of Arbitration Forums, and writes clear meaningful contentions which will establish liability against the adverse party.
• Recovery Representatives are responsible to promptly write and file arbitration contentions on all cases involving damage disputes as well as liability disputes.
• All claim file diaries are deemed to be current within 5-days of date set.
• Every recovery representative is obligated to make all necessary phone calls or send email inquiries to obtain all loss facts.
• Continually updates Detailed Status in RMS to clearly identify current file activity and status.
• Accurately updates the Estimated Recovery Value in each file.
• Enters all Expenses as incurred in the Expense Module.
• Updates Evidence Module for Injuries, Vehicle information, or Product depending on the loss type.
• All negotiations and settlements are performed within the client authorizations as defined in the Client Repositories.
• When referring any matter to subrogation counsel, ensures that the Adverse Carrier is not a Member of Arbitration Forums.
• When matters are referred to counsel, a short diary must be set to confirm counsel has acknowledged receipt of the referral.
• Subsequent to subrogation counsel accepting the referral, a copy of the Summons & Complaint filed together with the Answer from the Defendant must be obtained.
• All documentation entered in the RMS Notes must be reviewed by the recovery representative to eliminate or correct all spelling errors and grammatical errors.
• Internal file Messages or emails from the recovery representative’s Team Leader or Manager must be addressed and responded to within 24-hours.
• All correspondence from a client must be addressed and responded to within 24-hours.
• Any complaint, no matter how insignificant it may appear, must be immediately brought to the attention of the recovery representative’s Team Leader and Manager.

Qualifications

• Minimum of three (3) years’ experience working in a Worker's Comp Subrogation position.
• Intermediate to advanced computer skills.
• Knowledge of claims-related laws and regulations.
• Previous understanding of civil litigation, the claims technical process, subrogation, and litigation.

Preferred Education and Experience

• Bachelor’s or Associates degree in any field is preferred, but not required.
• Demonstrated experience within the Claims Industry.
• State Adjusters License.