Subrogation Examiner (Auto Claims) (Hybrid)

The Subrogation Examiner evaluates automobile claims to determine recovery (subrogation) opportunity based on sound claim knowledge. They manage the recovery process, including investigation, evaluation, and disposition of the claim in compliance with applicable insurance regulations and NYCM’s best practices. They assess customer needs and develop solutions to meet and/or exceed the customer’s expectations throughout the claim process.

• →Investigate each claim to evaluate the cause of the loss and determine subrogation potential.
• →Identify opportunities for subrogation and refer files to subrogation partner for recovery.
• →Manage claim investigation ensure viability of subrogation recovery opportunity.
• →Identify adverse at-fault party, insurance carrier, or legal representative.
• →Identify the need for outside experts and attorneys and manage their involvement in the claim process.
• →Establish scope of recovery, determine subrogation potential, and set appropriate reserves.
• →Negotiate settlements with adverse party, their insurance carrier or legal representative.
• →Effectively manage a working diary of assigned claims in a timely fashion to conclusion.
• →Manage cycle times and experience through file review and timely disposition.
• →Present recovery outcomes to customers.
• →Identify Fraud Indicators and submit referrals to the EFW and SIU as needed.
• →Issue settlement payments within the scope of coverage and authority.
• →Refer files to subrogation partner for arbitration filing and/or response.
• →Work with assigned vendors to ensure they are meeting our expectations on each claim.
• →Effectively communicate and establish connections with the customers, witnesses, 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 recovery 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.
• →Other duties as assigned.

• High school diploma, or equivalent, with related experience demonstrating the knowledge, skills, and abilities necessary to perform the essential functions of the position.

• Good knowledge and understanding of personal auto policy, Regulation 64, 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 and record keeping.
• Excellent 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.
• Ability to handle stress professionally, calmly, and effectively.
• Positive and professional attitude with ability to influence and support change.
• Willingness to continue professional development.