Claims Case Manager (Newark, DE)
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Protect the Company's assets and self-insured retention by investigating, managing and resolving third party claims against the company, including the field investigation of bodily injury and property damage claims, as well as the evaluation, case management and adjustment of claims.
Investigate and pursue recovery for motor vehicle related subrogation claims.
Direct and conduct the field and internal investigation of property damage, bodily injury, and fatality cases with an appropriate level of partnership and oversight.
Obtain, retain and preserve physical evidence appropriately.
Retain and partner with appropriate external experts to support evaluation, defense, and/or resolution of claims.
Use claims adjuster, claims case handling, investigative, people skills and experience to mitigate financial risk, impact and/or loss to the company.
Evaluate claim values and establish appropriate reserves on cases in accordance with established practices and procedures.
Analyze liability and evaluate financial risk to the Company on bodily injury and property damage losses.
Thoroughly document claim progress and investigation.
Prepare summaries, written reports, and case analysis as required.
Partner with the Legal and Litigation Departments to investigate, evaluate, litigate, negotiate, and resolve matters.
Support Legal and Litigation in the litigation of claims cases, including but not limited to the discovery process.
Support the loss prevention process.
Provide on-call response to emergencies and significant events.
Position is required to work extended hours for coverage for storms or other emergencies.
Note: This is a hybrid position (in-office with remote flexibility).
Employees are required to be in office at least three days per week (Tuesday, Wednesday, and Thursday).
This role includes an on-call rotation that involves 24/7 availability and can include nights, weekends, and holidays to respond to serious incident scene investigations anywhere within the Newark, DE service territory.
- Perform, /coordinate, and direct field investigation of liability, personal injury, fatality, auto accidents, property damage, fire, gas, environmental claims, and other claims; timely respond to incident scenes and coordinate investigations of incidents on a 24-hour basis. Provide 24/7 on-call emergency response (30%)
- Conduct thorough internal and external investigation, collecting, preserving and evaluating documents and relevant evidence related to claims and /or associated incidents. Interview customers/claimants, witnesses, employees, contractors, etc. to obtain facts of case. Coordinate and support site inspections with appropriate expert support, as needed. Coordinate with internal partners to investigate potential liability and assess risk. (30%)
- Thoroughly, timely, and accurately document and actively manage assigned claims to bring them to efficient and appropriate resolution. Prepare thorough and clear written investigation reports, letters, and other documents. (15%)
- Efficiently and effectively adjust claims, evaluate damages, determine liability, analyze losses and where warranted, develop a settlement strategy and negotiate a cost-effective and appropriate settlement, and/or efficiently and respectfully communicate claims decisions and/or denials when appropriate. (15%)
- Cooperate with the legal department in support of litigation of cases brought against the company. (5%)
- Perform assigned storm and incident response duties on an on-call basis. Participate in other department business and accomplishment of work and goals as needed. (5%)
- Protection of company assets through proper and thorough investigations and claims handling practices.
- Minimize Company Liability exposures through thorough evaluation of claims, effective negotiation of settlements and appropriate claim denials.
- Respectful, empathetic, efficient, and accurate customer/claimant interactions.
- Effective financial management through adequate reserving, denials, and payments.
- Self motivated requiring limited supervision and an ability to handle a heavy case load and a rapid pace.
- Perform comprehensive field and internal investigations.
- Bachelor's degree in a Business or related field and 2-4 years relevant claims, insurance, investigation, or related utility experience, OR in lieu of a bachelor's degree, a minimum of 3-6 years of relevant experience.
- Active Claims Adjuster license (If applicable to position location)
- 5-7 years relevant claims, insurance and/or utility experience
- Annual salary will vary based on a candidate’s skills, qualifications, experience, and other factors: $65,600.00/Yr. – $90,200.00/Yr.
- Annual Bonus for eligible positions: 10%
- 401(k) match and annual company contribution
- Medical, dental and vision insurance
- Life and disability insurance
- Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave
- Employee Assistance Program and resources for mental and emotional support
- Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and fitness reimbursement
- Referral bonus program
- And much more
About Exelon
Public U.S. utility holding company delivering regulated electricity and natural gas through six transmission-and-distribution utilities.
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