Adjuster Recovery

Gore Mutual Insurance is a modern mutual company committed to transforming the insurance industry for the better. The Recovery Adjuster is responsible for handling recovery files across various lines of business, demonstrating strong judgment and analytical skills to maximize recovery results and provide superior customer service.

Responsibilities

• HANDLE LOW TO MODERATE COMPLEXITY RECOVERY FILES: Review, investigate and assess new claims as they are referred and ensure that required expert vendors are involved in a timely manner. Ensure that responsible parties are placed on notice and send the Demand and Subrogation documents to the responsible parties. Engage legal counsel as soon as the need is identified and when appropriate. Ensure that legal limitation dates are protected where we intend to pursue recovery or are still investigating, while also ensuring our clients are kept apprised of recovery efforts. This role will also require that they prepare detailed reports for the Recovery Team Leader or Specialist for settlement authority requests and abandonment requests
• ATTEND SETTLEMENT CONFERENCES, MEDIATIONS, PRE-TRIALS, TRIALS: Attend settlement conferences, mediation, pre-trials, and trials as required with our legal counsel. Provide settlement instructions to legal counsel in pro-active efforts to resolve files in a timely manner using Alternative Dispute Resolution such as mediation/arbitration when possible. Prepare files for pre-arbitration officer for inter-company arbitration process and attend hearings when possible and where pre-arbitration does not resolve the matter
• PROVIDE DIRECTION TO CLAIMS HANDLERS ON RECOGNITION AND SUPPORT FOR RECOVERY: Collaborate with and provide direction to front line staff based on the claim circumstances around what evidence is required to enhance our chances of a successful recovery. Ensure evidence is secured and/or retained and that the initial subrogation investigation is addressed
• CONTROL RECOVERY EXPENSES: Review all invoices received for accuracy and legitimacy, issue payment accordingly. Obtain budgets from recovery vendors prior to engaging their services to ensure it makes economic sense to pursue the recovery. Ensure the expense of investigating and pursuing the recovery claim is not more than 35% of the value of the potential recovery amount
• NEGOTIATE SETTLEMENT OF RECOVERY FILES: Negotiate directly with responsible parties, their insurers or other representatives to arrive at the highest possible settlement amount, in a timely manner. Ensure releases are properly worded before signing on behalf of Gore Mutual and that the Insured’s interests and Gore’s interests are protected. Ensure that Recovery payments are received within a timely manner and the insured’s deductible is reimbursed accordingly if applicable

Skills

• 1-3 years Auto Claims, Property Claims, or Casualty Claims experience required
• College or University degree preferred
• 1-3 years of Subrogation experience preferred
• CIP designation or in-progress preferred

Benefits

• Extended health and dental benefits
• Disability insurance
• Retirement plan matching
• Paid time off
• Recognition and perk programs

Company Overview