Senior Claims Specialist
Westfield Health
Bilingual Subrogation Specialist – Personal Injury Law
CoreBridge Solutions
full-time
Posted on:
Origin: • 🇨🇴 Colombia
Visit company websiteJob Level
JuniorMid-Level
About the role
- Investigate, process, and resolve subrogation claims for personal injury cases.
- Identify and assert liens on recoveries in compliance with federal and state laws.
- Review medical bills, insurance claims, and other documentation for accuracy and completeness.
- Negotiate lien reductions with medical providers, government agencies, and insurers.
- Advocate for favorable resolutions to maximize client settlements.
- Communicate effectively with third parties to ensure timely resolutions.
- Ensure compliance with Medicare Secondary Payer (MSP) guidelines and other applicable laws.
- Maintain accurate and organized records of correspondence, settlements, and payments.
- Prepare detailed case reports for management and legal teams.
- Work closely with attorneys and paralegals to identify subrogation opportunities.
- Coordinate with the Subrogation Manager to address complex cases and escalate issues as needed.
Requirements
- Minimum of 2-3 years of experience in subrogation, lien resolution, or medical billing in personal injury or a related field.
- Knowledge of Medicare, Medi-Cal, VA, and private insurance regulations is required.
- Strong analytical and negotiation skills.
- Excellent verbal and written communication abilities.
- Proficiency in legal and medical billing software and tools.
- Highly organized with the ability to prioritize tasks and meet deadlines.
- Candidates must be based in Colombia.
- CV must be submitted in English.
