Workers' Compensation Recovery Specialist (Subrogation)

The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.

The ideal candidate will reside near our office in Charleston, WV but we are open to home-based candidates who reside in any state we are registered for payroll, as seen in this posting and on our careers page.

Are you a Referral?

If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.

Unique residence requirements are listed in each job posting, please review closely for details.

Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:

Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.

JOB OBJECTIVE:

Identify and pursue subrogation opportunities related to workers' compensation claims. Work closely with insurance claims adjusters, the legal team, and other stakeholders to recover costs, mitigate financial losses and maximize net restitution to the company.

ESSENTIAL FUNCTIONS:

• Claims Analysis: Review workers' compensation claims to identify potential subrogation sources/opportunities. Analyze claim details, including medical records, accident reports, and witness statements.
• Communication: Communicate with internal claims adjusters, legal teams, and external parties to gather relevant information and build a strong subrogation case.
• Legal Compliance: Stay informed about workers' compensation laws and regulations to ensure compliance with legal requirements. Work with legal professionals to preserve, notice and resolve subrogation liens within the statutory framework of the particular jurisdiction.
• Negotiation: Engage in negotiations with third parties, their insurance representatives and/or third-party attorneys to resolve subrogation liens. Advocate for Encova's interests and maximize net recovery dollars.
• Documentation: Maintain accurate and detailed records of subrogation efforts, including correspondence, negotiations, and settlements. Update Compasse with relevant information.
• Recovery resolution: Work with accounting to credit recoveries to proper claim.
• Reporting: Prepare reports on subrogation activities, recovery successes, and potential challenges. Provide updates to management and other stakeholders on the status of subrogation cases.

OTHER FUNCTIONS:

• Other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• Bachelor's degree in a related field (such as insurance, business, or legal studies) preferred.
• Experience in workers' compensation, casualty liability claims or WC subrogation handling is preferred.
• Knowledge of workers' compensation laws, regulations, and fair claims practice statutes.
• Requires a job history of pro-activity and strong verbal and written communication skills.
• Excellent negotiation abilities.
• Attention to detail and the ability to work independently.
• Continuing education is preferred and may be obtained through: Certificate in General Insurance; Associate in Claims (AIC) designation; Certified Subrogation Recovery Professional (CSRP) designation; and or Chartered Casualty Property Underwriter (CPCU).

This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.

Ready to join our team?
At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities.

Join us to discover a work experience where your diverse ideas will be met with enthusiasm - where you can learn and grow to your fullest potential.

What you can expect from us
Join our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to: a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday. Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations.

Encova Insurance is an EOE/E-Verify employer.