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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Legal Staff
Insurance Coverage
Litigation - Whistleblower - CFTC
Min 4 yrs required
Subrogation Supervisor - Functional Lead The candidate manages and oversees the day-to-day operations of a functional team within one or more Subrogation Unit(s) for casualty and/or estate cases functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes, overseeing the following functions: intake, claims review and selection, case management, settlement and all related tasks of the case, cash posting, invoicing and internal and external reporting. Assists with staff training, performing administrative duties, and working on ad hoc projects. Supports the Project Supervisor in overseeing and mentoring staff and acts as the back-up to the supervisor as needed. Supervises assigned staff including responsibility for recruiting and performance management. Leads and performs the daily activities of the assigned functional team members; intake, case verification and updates, case valuation, case management, settlement and recovery. Prioritizes work of self and others when requested and makes case assignments when needed. Serves as an escalation point for other functional team members. Provides training, coaching, and mentoring to staff. Manages operational workflows and meet internal and external Service Level Agreements (SLAs). Conducts periodic monitoring of the functional activities and productivity to ensure accuracy and quality of customer service and compliance with contract service levels. Provides reports and updates to Project Supervisor and Management as scheduled or requested. Ensures all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information). Develops and maintains work procedures, schedules and workflow. Recommends process improvements. Participates in and oversees regular and ad hoc team meetings. Coordinates with Shared Services to improve accuracy of deliverables. Compiles, analyzes and makes conclusions about information from multiple sources. Gives special attention to the timely processing of case events, various legal deadlines, and critical case payment/recovery issues. Effectively manages and maintains a variety of cases with current and accurate case notes. Interacts professionally (i.e. on incoming and outgoing calls and correspondence) with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and client. Meets department objective standards for Customer Service. May be responsible for cases with greater financial impact for the client and company.
Qualification and Experience
The candidate should have High School Diploma or GED. Associate's degree is preferred. Paralegal Certification is also preferred. Must have 2+ years of company experience and 2+ years of experience working in a professional office environment OR 4+ years of experience working in a professional office environment or in the insurance industry (casualty or health insurance). Experience managing large caseloads required. Experience in supervising 10+ staff members needed. Should have ability to: research and analyze applicable statues, regulations and case law; communicate and comprehend well both verbally and in writing, fluently in English; and work proficiently with MS Office, Word, Excel, PowerPoint and Access. Medicaid and/or Medicare knowledge preferred. Bilingual (Spanish and English) a plus.
Ref. #: 160010CL
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