Subrogation Specialist

1 week ago


Pembroke Pines, United States Customized Services Administrators, Inc. Full time

**Why work with us?**

The North American branch of Generali Global Assistance offers a diverse and inclusive work environment while employees work towards making real difference in the lives of our clients. As an Organization, we pride ourselves with offering white glove service while being mindful of corporate responsibility and our environmental footprint.

**Employees enjoy a plethora of benefits to include**:

- A diverse, inclusive, professional work environment
- Flexible work schedules
- Company match on 401(k)
- Competitive Paid Time Off policy
- Generous Employer contribution for health, dental and vision insurance
- Company paid short term and long term disability insurance
- Paid Maternity and Paternity Leave
- Tuition reimbursement
- Company paid life insurance
- Employee Assistance program
- Wellness programs
- Fun employee and company events
- Discounts on travel insurance

**Who are we?**

**Generali Global Assistance** is proudly part of the Europ Assistance Group brand and our products utilize a number of corporate and product brands. The brands for our North American team include the following:

- CSA: US travel insurance brand for retail and lodging partners. Learn more here.
- Generali Global Assistance (GGA): The primary Corporate brand in the United States for our travel insurance, travel assistance, identity and cyber protection, and beneficiary companion products. Learn more here.
- GMMI: the industry standard for global medical cost containment and medical risk management solutions. Learn more here.
- Iris, Powered by Generali: identity and digital protection solution. Learn more here.
- Trip Mate: US travel insurance brand for tour operator, cruise and airline partners. Learn more here.

**What you’ll be doing.**

**Job Summary**:

- Support Claims Teams in North America in becoming Claims Subrogation best-in-class.
- Define a clear strategy and the key priorities for the Subrogation program.
- Be accountable for the Subrogation targets achievement.
- Manage directly the most complex and high value subrogation cases.
- Support building and guarantee the right execution of the various action plans in close collaboration with the different involved Claims Teams.
- Design claims processes adaptation for maximizing our Subrogation opportunities in close collaboration with the Claims Team.
- Design automatic rules for Subrogation detection and guarantee their right and consistent implementation.
- Collaborate with UDW Team enabling to reinforce our Subrogation opportunities (e.g. co-insurance rules) in the T&Cs building / improvements.

**Principal Duties and Responsibilities**:
**Monitor the Subrogation KPIs and be accountable for target achievement.**
- Define, on a collaboration mode, yearly Subrogation targets with each claims department.
- Consolidate on a regular basis a Subrogation Dashboard embedding savings but also operational KPIs split per department, Business Partners, type of claims
- Set up an adequate governance framework to review results, main cases, trends with the respective claims teams.
- Ensure timely and accurate Subrogation reporting for compliance and regulation purposes.

**Reinforcing detection subrogation skills of the Claims Teams**
- Build and monitor dedicated action plans for each claim department.
- In close collaboration with Claims Teams, design and deploy Claims processes adjustments, in particular, at First Notification of Loss (FNOL) stage and allowing a:

- more systematic subrogation detection opportunity,
- an accurate Liability assessment.
- Design and deploy specific and adapted e-Learning modules for claims teams (jointly with the training department).
- Build and maintain a Subrogation Guideline including a clear and comprehensive articulation between the claims process and the full cycle time of a Subrogation case.

**Reinforce our IT capabilities in close collaboration with Claims Teams**
- Design automatic alerts for reinforcing Subrogation detection in the various Claims IT systems and guarantee their right and consistent implementation.
- Design / select a workflow capability for allowing an efficient monitoring of the Subrogation cases and guarantee its right and consistent implementation.

**Monitor carefully the most complex and high value subrogation cases.**

**Drive the performance of external Subrogation services providers.**
- Define a clear externalization strategy: types of Subrogation cases to be managed externally /internally.
- Manage the contractual relationship.
- Define clear KPIs and a clear Governance framework for driving the providers performance.

**Leadership**
- Act as a Subrogation expert within the company, supporting peers to continuously improve maturity level.
- Act as point of contact for Europ Assistance Group Subrogation topics.

**Other responsibilities as assigned by Senior Director, Claims Technical Excellence.**

**Required / Desired Knowledge, Experiences and Skills**:

- Minimum of 8 years of prio



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