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Years of Experience
Date Last Verified
Subrogation Analyst Duties: Responsible for handling complex Third Party Liability, Workerâ€™s 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. 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. 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.
Qualification and Experience
Qualifications: BA/BS degree or Legal Assistant certificate is preferred. 2 years of experience in Third Party Liability or Workerâ€™s Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background. Strong computer skills preferred. Knowledge of medical claims review preferred.
Ref â€“ PS3998
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