Subrogation Specialist

Position: Subrogation Specialist I

Position Summary

The Subrogation Analyst is responsible for reviewing third party liability claims referred by claims adjusters and analyze for liability and recovery potential. Review and understand relevant health benefit summary plan descriptions, along with state and federal regulations to pursue recovery from responsible third party and insurance carriers. The Subrogation Analyst interacts with claimants, attorneys, and third-party insurance carriers. Coordinates appropriate steps through the development and recovery of the claim following company guidelines.

Position Summary

The Subrogation Analyst is responsible for reviewing third party liability claims referred by claims adjusters and analyze for liability and recovery potential. Review and understand relevant health benefit summary plan descriptions, along with state and federal regulations to pursue recovery from responsible third party and insurance carriers. The Subrogation Analyst interacts with claimants, attorneys, and third-party insurance carriers. Coordinates appropriate steps through the development and recovery of the claim following company guidelines.

Essential Functions

• Research claims referred to Subrogation to identify third-party potential.
• Utilizes skills, as well as Plan’s policies and procedures to perform timely resolution of subrogation cases.
• Provides weekly reports regarding the status of open subrogation claims.
• Logging and tracking of subrogation files.
• Interact with claimants, internal & external clients, insurance carriers, and attorneys to document the necessary information needed to close the claim file.
• Composes letters to client(s), attorneys, and claimants.
• Documents and tracks subrogation files through completion.
• Responds to inquiries in a prompt and concise manner.
• Support other projects as assigned by management.
• Performs other related duties as assigned

EDUCATION

• High School Diploma or Equivalent Required

Experience And Skills

• Applicants must have 2 years or more of comprehensive insurance and subrogation experience, along with office and administrative skills.
• Strong customer service, organizational skills to efficiently manage cases.
• Good understanding of medical, claims.
• The applicant must be able to analyze claim situations, take appropriate actions and be great with communication and documentation.

Position Competencies

• Communication
• Customer Focus
• Accountability
• Functional/Technical
  
  Job Skills

Physical Demands

This is a standard desk role – long periods of sitting and working on a computer are required.

Work Environment

Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100

Mbps download/25

Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.#J-18808-Ljbffr