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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Legal Staff
Insurance Plaintiffs - General
Min 2 yrs required
Subrogation Analyst / Senior Subrogation Analyst Duties for Subrogation Anaylst: The candidate handles complex Third Party Liability, Workers' Compensation and other healthcare recovery cases. Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation. Responds to inquiries regarding claim recovery issues. Identifies, monitors and evaluates claim data to determine relatedness and reimbursement amounts. Analyzes, interprets and applies plan language, contracts, case law and various statutes or regulations. Prepares and maintains case files, correspondence, legal documents and other information related to subrogation claims. Coordinates actions involving accounting for payments received. Evaluates and negotiates settlements of subrogation claims of all dollar amounts within a prescribed level of authority. Duties for Senior Subrogation Anaylst: The candidate handles the most complex healthcare subrogation matters, including Third Party Liability, Workers Compensation and other recovery cases. Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation Identifies, monitors and evaluates claim data to determine reimbursement amounts. Answers inquiries from other departments, insurance adjusters, attorneys, and members. Analyzes, interprets, and applies plan language, contracts, case law and various statutes or regulations. Prepares and maintains case files, correspondence, legal documents, and other information related to subrogation claims. Coordinates actions involving accounting for payments received. Evaluates and negotiates settlements of subrogation claims of all dollar amounts within a prescribed level of authority. May include train and mentor other subrogation staff.
Qualification and Experience
Qualifications for Subrogation Analyst: The candidate should preferably have a BA/BS degree or Legal Assistant certificate. Must have 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. Qualifications for Senior Subrogation Analyst: The candidate should preferably have a BA/BS degree or Legal Assistant certificate. Must have 4+ 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.
Req #: PS66053
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