Jennifer Yerrington

• Responsible for investigating and evaluating, primarily low to moderate complexity claims, to determine coverage available to policyholders and claimants; handled 1st and 3rd party Personal Insurance and Business Insurance claims
• Provided clear explanation of claims process and coverage to all customers; acted as primary contact for customer and as intermediary between customer and other parties
• Conducted prompt investigation of coverage and liability; documented claims files in accordance with Best Practices

• Validate complete investigation, determine liability, and confirm subrogation potential, maximize fair recoveries by negotiating and settling subrogated auto claims
• Promptly and aggressively recover payout
• Evaluate liability to assess subrogation potential including consideration of jurisdiction regulations
• Negotiate subrogation recoveries with carriers, responsible party(s) and attorneys
• Document key activities in a timely clear and concise manner
• Manage the pursuit and recovery of subrogation claims in a timely and aggressive manner
• Communicate with insured's, claimants, agents, witnesses' and attorneys' during the pursuit of subrogation
• Utilize staff counsel whenever possible
• Select appropriate panel counsel as needed
• Partner with counsel to develop litigation plan and adhere to applicable guidelines
• Professionally communicate and provide exceptional customer service to insured's and agents
• Skilled at working independently and collaboratively in a team environment.
• Worked effectively in fast-paced environments.
• Excellent communication skills, both verbal and written.

• Manage medical and closed period claims by investigating, determining compensability, evaluating exposure and managing loss and expense costs; verify documents and coverage issues on assigned losses
• Support customer service (responding to inquiries, concerns, claims, etc.)
• Prepare case file documentation
• Resolve claims issues and authorize payment; mitigate exposure

Responsible for the aggressive recovery of monies and the proactive handling of auto and property subrogation files. This role involves receiving assignments of clear and comparative liability recovery opportunities within both Personal and Commercial lines.

• File evaluation on potential recovery and claim strategy for proactive handling for both incoming and outgoing subrogation

• Maintains accurate records, reports and file documentation

• Interact with internal and external vendors/customers to coordinate recoveries in appropriate cost effective forums

• Provide feedback to management and unit on any adverse trends or developments

• Responds timely to all electronic, written and verbal communications

• Responsible to engage special projects in support of subrogation goals and objectives

• Adheres to established settlement authority levels

• Responsible for preparation of arbitrations, small claims litigation and maintaining a high level of productivity, confidentiality and customer service

• Identify and address subrogation opportunities through monthly closed file review

The Claim Rep I, Auto position is responsible for handling 1st and 3rd party auto physical damage and medpay claims.

• Appropriately manage claims through coverage analysis, investigation, reserving, and resolution

• Comply with all federal and state regulations and guidelines regarding claims handling and reporting

• Conduct thorough liability and damage claims investigations (or oversee cases assigned to independents) including making direct contact with insureds and claimants as applicable, review independent reports, take recorded statements as necessary, identify any recovery (subrogation / salvage / contribution) potential on the file.

• Consistently maintain professional and appropriate demeanor, and deliver exceptional customer service to meet the needs of the insured, agent, and all internal and external customers

• Establish the validity of claims submitted for payment through coverage research and contact with policyholders, claimants, and outside parties; research and locate additional information and documentation to investigate, evaluate, and properly resolve claims

• Handle inquiry calls and respond timely to communication with customers, claimants, and agents

• Identify and address coverage issues, complete investigation to determine cause and exposure, set timely reserves, and develop detailed action plans

• Maintain an effective diary system, document claim file activities in accordance with established procedures, and proactively manage file inventory to ensure timely resolution of cases

• Negotiate and convey claim settlements timely and within authority limits