Protect the Company's assets and self-insured retention by leading the investigation, management, and resolution of third party claims against the company, including the field investigation of bodily injury and property damage claims to include high profile cases with significant financial and reputational exposure, as well as the evaluation, case management and adjustment of claims. Investigate and pursue recovery for motor vehicle related subrogation claims. Direct and conduct the field and internal investigation of property damage, bodily injury, and fatality cases with an appropriate level of partnership and oversight. Assist in the oversight, auditing, training, coaching, and mentoring of Claims Case Managers. Assist in collection and review of claims data to prepare responses to data requests from both internal and external partners. Assist in enhancing data integrity through coaching and routine collaboration with Claims Case Managers. Assist in onboarding of new claims department employees and facilitating the retention of and transfer of institutional knowledge to aid in operational excellence. Obtain, retain and preserve physical evidence appropriately. Retain and partner with appropriate external experts to support evaluation, defense, and/or resolution of claims. Utilize claims adjuster, claims case handling, investigative, people skills and experience to mitigate financial risk, impact and/or loss to the company. Evaluate claim values and establish appropriate reserves on cases in accordance with established practices and procedures. Analyze liability and evaluate financial risk to the Company on bodily injury and property damage losses. Thoroughly document claim progress and investigation. Prepare summaries, written reports, and case analysis as required. Partner with the Legal and Litigation Departments to investigate, evaluate, litigate, negotiate, and resolve matters. Support Legal and Litigation in the litigation of claims cases, including but not limited to the discovery process. Support the loss prevention process. Provide on-call response to emergencies and significant events. Position is required to work extended hours for coverage for storms or other emergencies.
Primary Duties: PRIMARY DUTIES AND ACCOUNTABILITIES�Protection of company assets (through proper and thorough investigations and claims handling practices) �Minimize Company Liability exposures (Thorough evaluation of claims, effective negotiation of settlements and appropriate claim denials) �Respectful, empathetic, efficient, and accurate Customer/client interactions �Effective financial management through adequate reserving, denials, and payments) �Self motivated requiring minimal supervision and an ability to handle a heavy case load and a rapid pace. �Perform comprehensive field and internal investigations. �Assisting in training, coaching, mentoring, and auditing Claims Case Managers. �Assist in data collection and review for comprehensive and accurate preparation of data request responses from internal and external partners, including rate case support, insurance support, Board and other executive requests.
Minimum Qualifications: MINIMUM QUALIFICATIONSBachelor's degree and 4-7 years of relevant investigative, claims or insurance experience, OR in lieu of a Bachelor's degree, 6-9 years of business experience, at least 6 of which must be relevant investigative, claims or insurance experience.
Preferred Qualifications: PREFERRED QUALIFICATIONS10+ years of relevant investigative, claims or insurance experience, plus 3 to 5 years of utility experience, Active Claims Adjuster license (If applicable to position location)
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