No Fault Subrogation Examiner (Hybrid)
No Fault Subrogation Examiner (Hybrid)
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$ 47400 - 73700
1 Vacancy
Job Description
The No Fault Subrogation Examiner evaluates and pursue recovery (subrogation) opportunities on injury wage and expense claims associated with an automobile accident based on sound claim knowledge. They manage incoming subrogation recovery requests including loss transfer and Medicare claims. They work closely with vendors and attorneys to ensure optimal recovery and settlement outcomes.
Duties & Responsibilities:
- Identify pursue and manage Loss Transfer Co-Insurance Priority of Payment Liens DWI and APIP recovery claims involving No-Fault payments made under Basic OBEL and APIP coverages.
- Identify and manage recovery claims involving payment made under the Medical Payments (Med Pay) coverage.
- Manage incoming Medicare recovery requests.
- Establish scope of recovery determine subrogation potential and set appropriate reserves.
- Conduct thorough file investigations gathering all necessary information needed to bring the claim to a resolution.
- Evaluate and establish liability against all involved parties.
- Manage cycle times through thorough file review and timely disposition.
- Evaluate and establish liability against all involved parties.
- Review negotiate and settle incoming loss transfer claims from adverse carriers.
- Establish loss exposure and set appropriate reserves.
- Negotiate with adverse parties on all recovery opportunities.
- Issue settlement payments within the scope of coverage and authority.
- Refer files to subrogation partner for arbitration filing and/or response.
- Serve as a panelist with Arbitration Forums hearing cases and rendering decisions on intercompany disputes for other carriers.
- Testify in court hearings and participate in depositions on behalf of NYCM.
- Effectively communicate and establish connections with the customers vendors and adverse party during the claim process.
- Professional handling of incoming and outgoing phone calls.
- Professional written communications such as requests for recovery.
- Guide customers through the claim process ensuring that they are informed at all stages.
- 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 as assigned by supervisor.
- Travel as needed for claims and agency visits.
Requirements:
- High School Diploma
- 1 year of customer facing experience
Skills & Qualifications:
- Good knowledge and understanding of personal auto policy Regulation 68 best practices NYS Vehicle and Traffic Laws and automobile insurance claims procedures.
- Knowledge and understanding of subrogation process.
- Knowledge and understanding of arbitration practices and principals.
- Customer service orientation.
- Good personal computer skills including electronic mail record keeping and Microsoft Word PowerPoint and Excel.
- Excellent and effective oral and written communication skills.
- Ability to multi-task prioritize and manage time effectively.
- Detail oriented.
- Critical thinking problem solving and decision-making skills.
- Strong negotiation skills.
- Ability to work both independently and within a team with minimal direct supervision.
- Positive and professional attitude with ability to influence and support change.
- Professional development oriented.
Market Range: 6 / 40 hours per week / Hybrid
Salary: $47400- $73700
Accepting applications through: 7/23/25
Employment Type
Full-Time
