Subrogation Specialist

BlueCross BlueShield of South Carolina•Columbia, SC

7d•Onsite

About The Position

Identifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina… and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Identifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually.

Requirements

High School Diploma or equivalent
1 year of claims processing, customer service or research/analysis experience.
Analyzes laws, regulations and contract language
Evaluates issues and develops recommendations
Handles confidential and sensitive information
Investigates assigned claims
Proposes claims adjustments and refunds
Works claims caseloads

Nice To Haves

Organizational skills.
Time Management.
Good writing skills.
Teamwork

Responsibilities

Analyzes laws, regulations, and contract language concerning the pursuit of subrogation and workers compensation reimbursements.
Reviews claims history to determine the lien amount and assert lien against interested parties based on applicable laws.
Negotiates with attorneys, liability carriers, and members for final settlement.
Under supervision of managing attorney, argues relevant subrogation laws concerning Erisa pre-emption, common fund rule, made whole rule, and other doctrines.
Reconciles monies recovered.
Maintains effective public relations with external and internal units by providing accurate and prompt responses to inquiries.