Wellington Insurance Services, Inc.

Senior Special Investigator

US-TX-Fort Worth
# of Openings
1
Category
Claims

Overview

Wellington Insurance Group is looking to add a Senior Special Investigator to our Claims Department. Using investigative resources and negotiation skills, the incumbent will ensure accurate processing and pricing for a claim. Full benefits (including competitive medical, dental and vision insurance, 401k with company match, life & AD&D insurance, short-term and long-term disability insurance, and a host of voluntary benefits); competitive salary with an annual bonus opportunity.

Responsibilities

  • Responsible for providing coverage analysis, investigation, thorough development of damage issues, and detailed resolution plans for claims that directly correlate with property damage, special investigations, and/or subrogation.
  • Communicate effectively with law enforcement regarding claims, insureds, and/or vendors.
  • Evaluate all detailed facts regarding any submitted claim that includes liability, subrogation, or SIU; recognize the actual amount of overall damages and subrogation recovery and address any potential fraud on the scene.
  • Maintain contact with initial witnesses and parties to provide information on liability, claim value, explanation of benefits, and coordination of claims resolution.
  • Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations post-evaluations.
  • Maintain statistical reporting data and develop anti-fraud plans in accordance with state regulations; develop and conduct programs and training sessions in fraud awareness and detection. May develop and/or train other claim employees in the area of expertise.
  • Perform other duties as instructed or required to complete the job successfully, including special projects and/or work-load surges due to weather-related events that may require hours beyond core business hours.

Qualifications

  • Minimum seven years related, applicable experience. Progressive experience processing claims preferred.
  • Bachelor’s degree (B.A. or B.S.) from a four-year college or university
  • Or equivalent combination of education and experience.
  • Adjusters License for states in which the Company conducts business.
  • Fluency in Spanish preferred.

 

Disclaimer: This document describes the minimum essential duties, qualifications, responsibilities, skills, abilities, effort, and working conditions of the position.  It in no way implies that these are the only functions to be performed by the incumbent, and management may add additional essential or other functions at any time to meet Company needs.  Incumbent is required to follow any other lawful job-related instructions and to perform any job-related functions requested by a supervisor or manager.  Unless otherwise indicated, all job-related functions will be performed on-site at the Employer’s facility.  For successful performance, it is essential that the incumbent possesses and utilizes the abilities and skills described.  Although the employer upon proper notice provides reasonable modification to accommodate individuals with disabilities, there is no requirement that the employer eliminate any essential functions.  Some functions may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or others.

TOBACCO USERS NEED NOT APPLY. 
Criminal background check, credit reporting disclosure and drug testing required.

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