Claims Case Manager - BGE; Hybrid

Overview

Who We Are We're powering a cleaner, brighter future. Exelon is leading the energy transformation, and we're calling all problem solvers, innovators, community builders and change makers. Work with us to deliver solutions that make our diverse cities and communities stronger, healthier and more resilient. We are a Fortune 200 company with 19,000 colleagues serving more than 10 million customers at six energy companies:
Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (Com Ed), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco). In our pursuit of excellence, we attract diverse voices, fresh perspectives and bold thinking, and we provide competitive compensation, incentives, excellent benefits and the opportunity to build a rewarding career. Are you in?

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.

• Perform, coordinate, and direct field investigation of liability, personal injury, fatality, auto accidents, property damage, fire, gas, environmental claims, and other claims; respond to incident scenes on a 24-hour basis and provide 24/7 on-call emergency response.
• Conduct thorough internal and external investigations, collect, preserve and evaluate documents and relevant evidence related to claims and incidents. Interview customers/claimants, witnesses, employees, contractors, etc. to obtain facts. Coordinate site inspections with appropriate expert support, as needed. Coordinate with internal partners to investigate potential liability and assess risk.
• Document and actively manage assigned claims to timely bring them to efficient and appropriate resolution. Prepare thorough written investigation reports, letters, and other documents.
• 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 communicate claims decisions and/or denials when appropriate.
• Cooperate with the legal department in support of litigation of cases brought against the company.
• Perform assigned storm and incident response duties on an on-call basis. Participate in other department activities and goals as needed.

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…