Subrogation Specialist

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Subrogation Specialist
Responsibilities: Ensure all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information). Utilize complex analytical skills to manage subrogation cases, notate files and negotiate settlements on 700 – 1,000 cases at a time Interact professionally, primarily using incoming and outgoing calls, with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and clients Prepare required correspondence, liens, claims and other related documents to progress the case to recovery. Negotiate and compromise claim/lien settlement amounts per contract guidelines. Perform basic and advanced levels of document review to identify current case status, legal research, and case management and ensure case progress through workflow Non-Essential Responsibilities: Performs other functions as assigned Confirm documentation of eligibility for beneficiaries. Conduct all case document review and updates as needed. Confirm and validate third party liability and, probate and beneficiary asset research. Process all claim/lien disputes and review claims with attorneys and other stakeholders. Conduct outgoing periodic follow up on case status and payment. Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are revenue impacting. Compile, analyze and make conclusions about case information and status from multiple sources. Meet department objective standards for Customer Service, settlement goals and file handling guidelines. Meet file handling and phone call metrics related to each case.

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