Senior Property Liability Claims Consultant (Subro) - Vacant

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Job description

DESCRIPTION
CIS is recruiting for a:
Senior Property Liability/Third-Party (Subrogation) Claims Consultant

Recruitment opened: September 17, 2024

Recruitment closes: October 8, 2024, at noon

Salary Range: $100,240 to $122,388

Job Location: You will be required to work in our Wilsonville Office one day a week, with the option of working more days in the office during the week if you want to. The other days in your workweek can be remote days from your Oregon residence. During the initial training period, you may be required to work more than one day per week in the office. In addition to the requirement that you work in the office one day a week, you may occasionally be required to travel to the office on other days, you may need to travel to member locations, or you may need to travel to a CIS staff gathering location, and you are required to travel to the Oregon location of CIS' Annual Conference.

You must apply using our online application system () to be considered for an interview, and to request Oregon Veterans Preference consideration.

I am interested; what do I do next? CIS uses a "quick apply" application process, meaning you just need to submit your resume and respond to a few questions. To learn more about the job, and access our Careers page, please go to the link for our online application system ():

General Position Summary:
Can you picture yourself in this position? The person in this position will:

Pursue subrogation claims, work with District Attorney and City Prosecutor's offices to pursue restitution on claims where criminal charges are filed. Attend hearings (in person and virtually) to testify about liability and damages on restitution claims.

Interpret coverage documents and apply them appropriately to claims submitted. Communicate both verbally and in writing, findings, and decisions regarding claims, to management, members, vendors, providers and public. Assist defense attorneys in planning the litigation defense.

Pursue conditional employment, employment participation, cyber and medical care jail claims deductibles.

Track, diary, and process receipt of Excess Carrier payments (Collections)

Manage claims from beginning to end. Use Independent Adjusters. Thoroughly investigate claims, and make determinations of Coverage, Liability and Damages. Have independent authority to settle/resolve claims within their designated authority level, seek and hire experts and engage attorneys to assist in pursuit of subrogation opportunities. Evaluations of liability involving comparative negligence to determine compensation.

Investigate, evaluate, and resolve auto and general liability property damage claims, auto physical damage claims and first party property claims made against or by members of the pool. May also handle auto and general liability bodily injury claims. The case load of liability claims will range from 30 to 50 which may include claimants who are attorney represented.

Claim Complexity: First-party property, third party subrogation claims, involving litigation, and multiple subcontractors and hiring of litigation experts.

CIS Offers: Why is CIS a great place to work? Meaningful work that impacts Oregon's communities, job stability, 100% employer-paid retirement plan (Oregon PERS), regular salary increases, 90% of health insurance premium paid by CIS, professional development opportunities, and respect and appreciation for what you do.

Please come join CIS. As a nationally recognized leader in risk pooling and trust management, our values are integrity, financial strength, expertise, innovation, adaptability, inclusion, and collaboration, which not only benefits local communities, but also delivers a great benefit to you! It is a win-win for everyone. Our average employee tenure is 8 years; whether you are joining our team for two years or 20 years, you will have the opportunity for professional development. We would be honored to have you join our team.
POSITION HIGHLIGHTS/JOB DESCRIPTION
Essential competencies of this job are described under the headings below. They may be subject to change at any time. The omission of specific statements of duties does not exclude them from the position, if the work is similar, related, or a logical assignment to the position. The job description does not constitute an employment agreement between the employer and employee and may be changed by the employer at any time.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions, providing that an accommodation(s) does not create an undue hardship for the employer, remove an essential job function, and/or create a direct safety threat to the individual, or others.

GENERAL POSITION SUMMARY:

Pursue subrogation claims previously handled by other adjusters. This may require additional fact and damages investigations, not completed by the underlying adjuster. Position requires contact with the District Attorney or City Prosecutor's office to pursue restitution on claims where criminal charges are filed. Employee will be required to attend hearings (in person and virtually) to testify about liability and damages on some restitution claims.

Interpret coverage documents and apply them appropriately to claims submitted. Communicate both verbally and in writing findings and decisions regarding claims, to management, members, vendors, providers and public. Assist defense attorneys to plan the litigation defense.

Pursue conditional employment, employment participation, cyber and medical care jail deductibles on all applicable claims. Pursuit of these deductibles will require careful review of files to determine if special circumstances or waivers exist. Pursuit of deductibles from members may require delicate written and verbal communications.

Track, diary, and process receipt of Excess Carrier payments (Collections) previously submitted by Claims Manager. Accurately record Collection in Compass in appropriate reserve categories.

Receive newly assigned claims and handle files to conclusion. Special assignments may include the use of an Independent Adjuster. The Specialist will investigate all claims thoroughly and make determinations of Coverage, Liability and Damages. The Specialist has independent authority to settle/resolve all claims within their designated authority level, seek and hire experts and engage attorneys to assist in pursuit of subrogation opportunities. Immediate contact is required with all claims, for all parties involved. During the course of adjustment, collection of documents, reports, statements, and bills must support any claims payments made. Evaluations of liability involving comparative negligence must be decided upon prior to any the amount of compensation made.

Investigate, evaluate, and resolve auto and general liability property damage claims, auto physical damage claims and first party property claims made against or by members of the pool. May be requested to handle auto and general liability bodily injury claims, as needed. The case load of liability claims will range from 30 to 50 which may include claimants who are attorney represented.

Claim Complexity: First-party property, 3rd party subrogation claims, involving litigation, and multiple subcontractors and hiring of litigation experts.

ESSENTIAL FUNCTIONS:
Temporary modifications to provide reasonable accommodations, or transitional work assignments, do not waive any of the essential functions for this position.

Driver License
The ability to drive is an essential job function, and it is related to a business purpose.

The following information may not be all-inclusive:

• Answer and send emails from and to clients, agents, body shops, attorneys, and other adjusters.
• Attend and testify at restitution hearings.
• Attend settlement conferences and mediations.
• Authorize check distribution to Members, claimants, body shops and other vendors.
• Compose correspondence to witnesses, attorneys, claimants, and customers/members.
• Consult Members and collect information regarding loss.
• Contact claimants (when applicable) and compile claimants' information regarding loss and damages sustained.
• Diary files and review on a regular basis.
• Draft and send correspondence to witnesses, attorneys, claimants, and members.
• Draft closing document to member, indicating claim decision and status.
• Establish appropriate reserves reflecting damages and liability/coverage issues; reserves may also reflect costs of investigating and litigation.
• Hire and manage defense counsel for bodily injury claims, and counsel, and to pursue subrogation.
• Identify assets of uninsured individuals.
• In cases of denial, document reasons and articulate reasons, both verbally and in writing to Member and/or claimant.
• Investigate claims that are assigned by the Claims Manager. This can be done by phone or may drive to the scene of the occurrence.
• Monitor claim denials for 30-day period and answer supplemental questions from Member or claimant.
• Negotiate settlements and discuss liability of claims with claimants and attorneys.
• Place closed files in inactive status.
• Prepare deductible reimbursement requests for applicable files.
• Prepare reserve calculation sheets for all bodily injury claims.
• Process claim Collections from Excess carriers.
• Process non-subrogation payment information, such as excess payments, in CIS' Compass system click apply for full job details
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