Subrogation Claims Professional; Mid or Senior Level

WHAT WE'RE LOOKING FOR

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Subrogation Claims Professional! This individual will be responsible for managing a caseload of subrogation claims in accordance with established guidelines, ensuring cost-containment and maximal recovery outcomes to achieve company goals and objectives.

• Effectively manages a caseload of subrogation claims, providing highest quality claims service, and appropriate resolutions in accordance with our claims handling guidelines.
• Reviews claim files to identify, evaluate, and interpret subrogation potential for single and multi-party claims. Coordinates appropriate steps to secure evidence and ensure pursuit, development and recovery of claims. Evaluates completeness and accuracy of documentary evidence.
• Assists in recovery of over payments for duplicate coverage claims. Identifies legal liability and pursues, negotiates and settles subrogation collection. Interacts with appropriate parties to recommend and document necessary information to close claim.
• Assists adjusters in identifying claims in which a third party(ies) is(are) responsible for a claim, coordinating communication with the responsible party(ies) for facilitating recovery of payments. Makes recommendations on recovery potential for subrogation claims.
• Ensures that subrogation claims are managed in compliance with applicable statutes, regulations, case law, and Company standards. Follows guidance to optimize subrogation recovery to ensure claims are appropriately and timely subrogated.
• Participates in a variety of subrogation-related projects such as process improvements, workflow mapping, trend identification, etc.
• Contributes to training for Claims adjusting teams and others on subrogation and related topics.
• Interacts effectively in round tables, sharing appropriate information to improve education and understanding of subrogation topics by others.

• EDUCATION:
  
  Minimum of High School diploma or equivalent certificate required. Bachelors degree from an accredited four-year college or university preferred.
• EXPERIENCE:
  
  Minimum of 3 years of workers compensation claims adjusting experience (7 years for Senior-level) required. Prior subrogation claims management experience preferred (Minimum of 4 years of subrogation claims management required for Senior-level).
• CERTIFICATIONS:
  
  Maintains qualifying educational criteria to manage a caseload of workers compensation claims for state assigned. California Claims Professionals:
  Self-Insurance Administrators Certification preferred.

• Solid workers compensation claims management knowledge for state assigned.
• Data analytic skills to perform solid data collection, analysis, and reporting.
• Proficient in Microsoft Office suite of products.
• Knowledge of claims software systems and able to master and become proficient in proprietary and vended software programs.

• MATH AND REASONING ABILITY:
  Able to apply concepts such as fractions, percentages, ratios and proportions to practical claims solutions. Able to compute rate, ratio, and percent. Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Able to deal with problems involving multiple unknown variables in situations with limited data.
• LANGUAGE ABILITY:
  Able to read and interpret information and documents contained in claim files. Able to write routine reports and correspondence. Able to effectively negotiate, write, and interpret legal and business correspondence and reports. Able to effectively present research, make persuasive arguments, and professionally respond to questions from attorneys, internal partners, and external sources.
• CRITICAL THINKING:
  Able to think critically and adapt quickly in a flexible and dynamic environment. Are proactive and inquisitive in approach to work. Able to derive appropriate conclusions and apply on the job.

• Hybrid Work Schedule (up to 2 days work from home upon eligibility)
• Multiple Office Locations - Financial District Downtown or Walnut Creek
• Paid Time Off
• Paid Holidays
• Immediate Vesting of Retirement Savings + Company Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Hospital Indemnity Insurance Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program

$90,030 - $129,800 a year

This pay scale is an estimate of the salary range the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The actual salary may be above or below the range. The pay scale applies only to this position and only if it is filled in the Bay Area, California.

The pay scale may be…