Handle complex Third Party Liability, Workers Compensation and other healthcare recovery cases
Review and evaluate accident or incident reports, individual claims, medical, legal or other documents relating to subrogation
Respond to inquiries regarding claim recovery issues
Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts
Analyze, interpret and apply plan language, contracts, case law and various statutes or regulations
Prepare and maintain case files, correspondence, legal documents and other information related to subrogation claims
Coordinate actions involving accounting for payments received
Evaluate and negotiate settlements of subrogation claims of all dollar amounts within a prescribed level of authority
Requirements
Requires minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background.
BA/BS degree or Legal Assistant certificate is preferred.
Ability to work Monday - Friday; 8:30am-5:00pm Eastern Time
Must reside within a reasonable commuting distance to listed office locations or qualify for an accommodation per company policy
Ability to handle complex Third Party Liability, Workers Compensation and other healthcare recovery cases
Benefits
merit increases
paid holidays
Paid Time Off
incentive bonus programs (unless covered by a collective bargaining agreement)
medical, dental, vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources
flexibility for virtual work and work-life integration
personal and professional growth opportunities
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Third Party LiabilityWorkers Compensationsubrogationclaim evaluationdata analysiscontract interpretationlegal document preparationsettlement negotiationcase law applicationstatutory compliance
Soft skills
communicationnegotiationanalytical thinkingproblem-solvingattention to detailorganizational skillstime managementinterpersonal skillsadaptabilitycritical thinking