Exelon

Sr Claims Case Manager - PECO (Hybrid)

Plymouth Meeting, PA

full_time

$83,200-$114,400

About This Job

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're powered by purpose-driven people like you who believe in being inclusive and creative, and value safety, innovation, integrity and community service. We are a Fortune 200 company, 19,000 colleagues strong serving more than 10 million customers at six energy companies Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).

In our relentless pursuit of excellence, we elevate diverse voices, fresh perspectives and bold thinking. And since we know transforming the future of energy is hard work, we provide competitive compensation, incentives, excellent benefits and the opportunity to build a rewarding career.

Are you in?

Primary Purpose PRIMARY PURPOSE OF POSITION

Protection of the Company’s assets to include our self-insured retention of $10 Million through the execution and management of field investigations of bodily injury, property damage and company damage incidents to include high profile cases with significant monetary exposure. Establish appropriate reserves on cases in accordance with established accounting principles. Analyze liability and evaluate financial risk to the company in high complexity injury and large property damage losses. Make presentations to Senior Management regarding investigations with high impact potential. Temporarily fill in for the Manager Claims Case Management on an as needed basis. Prepare written reports and case analysis as required. Support the loss prevention process with analytical data. Note: Position may be required to work extended hours for coverage for storms or other energy delivery emergencies

Primary Duties PRIMARY DUTIES AND ACCOUNTABILITIES

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Direct, perform, and coordinate field investigation of property damage, bodily injury, fatality, automobile accidents, fires, gas, environmental, company damage, and other incidents that involve potential liability issues for the company on a 24-hour basis. Respond to and coordinate the investigation of major incidents (gas explosions, fires, electrocutions) including significant company damage events on a 24-hour basis. Interview customers/claimants, witnesses, employees, contractors, etc. to obtain facts of incidents. Conduct thorough internal and external investigation, collecting, preserving, and evaluating documents and evidence. Prepare thorough and clear written investigation reports, letters, and other documents. (30%)

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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. Thoroughly, timely, and accurately document and actively manage assigned claims to bring them to efficient and appropriate resolution. (30%)

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Assist in the oversight, auditing, training, coaching, and mentoring of Claims Case Managers. Assist in onboarding of new claims department employees and facilitating the retention of and transfer of institutional knowledge to aid in operational excellence. Assist in enhancing data integrity through coaching and routine collaboration with Claims Case Managers to ensure consistency. (15%)

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Conduct and support site investigations with appropriate expert support, as needed. Cooperate with the Legal department in support of litigation of cases brought against the company (10%)

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Assist in collection and review of claims data to prepare responses to data requests from both internal and external partners, including e.g., rate case support (5%)

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Provide educational and consultative services to internal and external constituents as appropriate. (5%)

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Participate in other department business and accomplishment of work and goals as needed. Serve on Root Cause and/or Apparent Cause Investigations Team. All other duties as assigned. (5%)

Job Scope JOB SCOPE

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Protection of company assets (through proper investigations)

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Minimize Company Liability exposures (effective settlements and claim denials)

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Customer/client satisfaction while balancing effective claim performance

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Contribute to company performance through amounts collected (Financial Recovery field investigations).

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Effective financial management (adequate reserving and payments)

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Self motivated requiring minimal supervision and an ability to handle a heavy case load.

Minimum Qualifications MINIMUM QUALIFICATIONS

Bachelor's degree and 4-7 years of relevant investigative, claims or insurance experience, OR in lieu of a Bachelor's degree, 6-9 years of business experience, at least 6 of which must be relevant investigative, claims or insurance experience.

Preferred Qualifications PREFERRED QUALIFICATIONS

10 years of relevant investigative, claims or insurance experience.

Field experience in electric or gas construction, or other related industry.

Strong organizational skills is a must.

This position may require individual to be on call during business and off-hours, and respond to onsite events daily.

Benefits Benefits

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Annual salary will vary based on a candidate’s skills, qualifications, experience, and other factors: $83,200.00/Yr. – $114,400.00/Yr.

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Annual Bonus for eligible positions: 15%

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401(k) match and annual company contribution

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Medical, dental and vision insurance

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Life and disability insurance

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Generous paid time off options, including vacation, sick time, floating and fixed holidays, maternity leave and bonding/primary caregiver leave or parental leave

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Employee Assistance Program and resources for mental and emotional support

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Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and fitness reimbursement

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Referral bonus program

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And much more

Note: Exelon-sponsored compensation and benefit programs may vary or not apply based on length of service, job grade, job classification or represented status. Eligibility will be determined by the written plan or program documents.

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