This job ad has been posted over 60 days ago...
0
applicants
Recovery Specialist II
at Sedgwick CMS in Iowa
Recovery Specialist II
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:
To identify and pursue potential third party subrogation recoveries associated with workers compensation claims; and to pursue excess recovery reimbursements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Reviews multi-jurisdictional workers compensation claims to determine potential for third party subrogation recovery.
Provides guidance and direction to claims staff for obtaining any additional investigation/information necessary to identify or pursue subrogation; provides subrogation training to claims offices.
Contacts client to discuss and obtain authorization to pursue third party subrogation, assignments to subrogation counsel and settlement authority.
Sends appropriate subrogation lien notifications to appropriate parties.
Gathers information necessary to support viable subrogation claim; documents claim notes with appropriate information.
Provides direction to assigned subrogation counsel.
Maintains a diary on active claims with subrogation potential and claims meeting excess reporting criteria; pursues excess reimbursements.
Approves and/or pays bills as appropriate.
Secures recovery from responsible parties; enters recoveries into claims management system.
Prepares status reports for client as required.
Maintains a quality assurance program to support the total performance management initiative and the delivery of quality claims service consistently.
Travels as required.
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
Experience
Four (4) years of multi-jurisdictional liability (general liability, auto liability, products), subrogation and/or workers compensation claims handling experience required.
Skills & Knowledge
Thorough knowledge of claims management processes and procedures
Excellent oral and written communication
PC literate, including Microsoft Office products
Strong organizational skills
Excellent interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/19116709
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:
To identify and pursue potential third party subrogation recoveries associated with workers compensation claims; and to pursue excess recovery reimbursements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Reviews multi-jurisdictional workers compensation claims to determine potential for third party subrogation recovery.
Provides guidance and direction to claims staff for obtaining any additional investigation/information necessary to identify or pursue subrogation; provides subrogation training to claims offices.
Contacts client to discuss and obtain authorization to pursue third party subrogation, assignments to subrogation counsel and settlement authority.
Sends appropriate subrogation lien notifications to appropriate parties.
Gathers information necessary to support viable subrogation claim; documents claim notes with appropriate information.
Provides direction to assigned subrogation counsel.
Maintains a diary on active claims with subrogation potential and claims meeting excess reporting criteria; pursues excess reimbursements.
Approves and/or pays bills as appropriate.
Secures recovery from responsible parties; enters recoveries into claims management system.
Prepares status reports for client as required.
Maintains a quality assurance program to support the total performance management initiative and the delivery of quality claims service consistently.
Travels as required.
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
Experience
Four (4) years of multi-jurisdictional liability (general liability, auto liability, products), subrogation and/or workers compensation claims handling experience required.
Skills & Knowledge
Thorough knowledge of claims management processes and procedures
Excellent oral and written communication
PC literate, including Microsoft Office products
Strong organizational skills
Excellent interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/19116709
Recent jobs at Sedgwick CMS
Telephonic Case Manager I at Sedgwick CMS in Ohio
Sep 07, 2011
Claims Assistant at Sedgwick CMS in New York
Sep 07, 2011
Sr. Claims Adjuster - Workers' Compensation - (NY WC License Required) at Sedgwick CMS in Florida
Sep 07, 2011
Claims Adjuster II - Workers' Compensation (NY WC License Required) at Sedgwick CMS in Florida
Sep 07, 2011
Claims Examiner I - Liability at Sedgwick CMS in North Carolina
Sep 07, 2011
Published on Mar 26, 2011
Viewed: 453 times
Viewed: 453 times
Search Insurance Jobs by State: