Specialist, Subrogation

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

The Specialist, Subrogation identifies and pursues subrogation and workers compensation recoveries, managing approximately 500 cases and the collection of approximately $1,000,000 annually. The role analyzes laws, regulations, and contract language relating to recovery efforts; reviews claims history to determine lien amounts; and asserts liens against interested parties under applicable laws. It negotiates settlements with attorneys, liability carriers, and members, and reconciles recovered funds. Under the supervision of a managing attorney, the specialist argues relevant subrogation laws and doctrines. The role also maintains effective public relations with internal and external units by responding to inquiries accurately and promptly. This is a full-time, 40-hour-per-week position, Monday through Friday, in a typical office environment. The 8-hour shift is scheduled during normal business hours of 8:00 a.m. to 4:30 p.m. The role is located at 4101 Percival Road, Columbia, South Carolina. The position is not eligible for sponsorship now or in the future.

Requirements

High school diploma or equivalent.
One year of claims processing, customer service, or research/analysis experience.
Ability to analyze laws, regulations, and contract language.
Ability to evaluate issues and develop recommendations.
Ability to handle confidential and sensitive information.
Ability to investigate assigned claims.
Ability to propose claims adjustments and refunds.
Ability to work claims caseloads.

Nice To Haves

Organizational skills.
Time-management skills.
Good writing skills.
Teamwork.

Responsibilities

Analyze laws, regulations, and contract language concerning subrogation and workers compensation reimbursements.
Review claims history to determine lien amounts and assert liens against interested parties based on applicable laws.
Negotiate final settlements with attorneys, liability carriers, and members.
Under the supervision of a managing attorney, argue relevant subrogation laws and doctrines, including ERISA pre-emption, the common fund rule, and the made whole rule.
Reconcile monies recovered.
Maintain effective public relations with internal and external units by providing accurate and prompt responses to inquiries.
Manage a workload of approximately 500 cases and the collection of approximately $1,000,000 annually.