Subrogation Specialist

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

PRIMARY PURPOSE:  Identifies and pursues mid-level to complex subrogation recoveries across all lines of business and all jurisdictions and ensures ongoing claims remain within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Reviews multi-jurisdictional claims to establish potential for third party subrogation recovery by investigating and gathering information based on feasibility of recovery analysis and employment of strategies to manage the claim through timely resolution.

• Provides subrogation guidance to both internal and external stakeholders relative to investigation and cost-effective resolution.

• Develops and pursues third party subrogation, refers assignments to subrogation counsel as dictated by statute or timeline, and discusses any compromised or negotiation of the claimed subrogation interest.

• 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.

• Ensures claim files are properly documented and claims coding is correct.

• Approves and makes timely claim payments relative to subrogation and settles claims within designated client authority level.

• Manages claim recoveries, including but not limited to subrogation; secures recovery from responsible parties; enters recovery fees into claims management system. 

• Prepares status reports for client as required and present in claim reviews.

• Manages the litigation process; ensures timely and cost-effective resolution.

• Coordinates vendor referrals for additional investigation and/or litigation management.

• Uses appropriate cost containment techniques, including strategic vendor partnerships, to reduce overall cost of claims for our clients.

• Participates in department training opportunities. 

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Travel as required

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred.  Licenses as required.

Experience

Five (5) years of related experience or equivalent combination of education and experience required.

Skills & Knowledge

• Through knowledge of claims management processes and procedures

• Excellent oral and written communication skills, including presentation skills

• PC literate, including Microsoft Office products

• Analytical and interpretive skills

• Strong organizational skills

• Excellent interpersonal skills

• Excellent negotiating skills

• Ability to create and complete comprehensive, accurate and constructive written reports

• Ability to work in a team environment

• Ability to meet or exceed Performance Competencies

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.

Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review.

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.