Subrogation Specialist I

Allied Benefit Systems•Chicago, IL

1d•Remote

About The Position

POSITION SUMMARY: The Subrogation Analyst is responsible for reviewing third party liability claims referred by claims adjusters and analyze for liability and recovery potential. Review and understand relevant health benefit summary plan descriptions, along with state and federal regulations to pursue recovery from responsible third party and insurance carriers. The Subrogation Analyst interacts with claimants, attorneys, and third-party insurance carriers. Coordinates appropriate steps through the development and recovery of the claim following company guidelines.

Requirements

Applicants must have 2 years or more of comprehensive insurance and subrogation experience, along with office and administrative skills.
Strong customer service, organizational skills to efficiently manage cases.
Good understanding of medical, claims.
The applicant must be able to analyze claim situations, take appropriate actions and be great with communication and documentation.

Responsibilities

Research claims referred to Subrogation to identify third-party potential.
Utilizes skills, as well as Plan’s policies and procedures to perform timely resolution of subrogation cases.
Provides weekly reports regarding the status of open subrogation claims.
Logging and tracking of subrogation files.
Interact with claimants, internal & external clients, insurance carriers, and attorneys to document the necessary information needed to close the claim file.
Composes letters to client(s), attorneys, and claimants.
Documents and tracks subrogation files through completion.
Responds to inquiries in a prompt and concise manner.
Support other projects as assigned by management.
Performs other related duties as assigned