Specialist, Subrogation
BlueCross BlueShield of South Carolina • Columbia, SC6d • Onsite
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Specialist, Subrogation
BlueCross BlueShield of South Carolina•Columbia, SC
•Onsite
About The Position
This full-time position, located at 4101 Percival Road, Columbia, SC 29229, involves identifying and pursuing subrogation and workers' compensation recoveries. The specialist will manage a workload of approximately 500 cases and aim for an annual collection of around $1,000,000. The role requires analyzing laws, regulations, and contract language related to subrogation and workers' compensation reimbursements. Key tasks include reviewing claims history to determine lien amounts, asserting liens against interested parties, and negotiating settlements with attorneys, liability carriers, and members. The specialist will also argue relevant subrogation laws under the supervision of a managing attorney, reconcile recovered monies, and maintain effective public relations by providing accurate and prompt responses to inquiries.
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.
Benefits
- Subsidized health plans, dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
Job Search Resources
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