Subrogation Specialist

Subrogation Specialist

The Subrogation Specialist plays a critical role in our organization, responsible for managing liens from insurance companies, particularly those related to ERISA or SELF PAY plans. This position involves coordinating with various parties to obtain required documents and information necessary for case settlements. The Subrogation Specialist ensures timely follow-up on ERISA letters, submission of information to required parties, and communication with negotiators regarding lien status.

Essential Duties and Responsibilities:

1. Request Liens: Initiate lien requests from insurance companies with ERISA or SELF PAY plans as necessary for case settlements.
2. Follow-Up and Submission: Follow up on ERISA letters previously sent by case managers and submit all required information electronically or via certified mail to obtain necessary documents for case settlements.
3. Notification and Documentation: Notify negotiators upon receipt of liens and notate the file accordingly. Ensure that liens are obtained before offers are made on cases.
4. Respond to Inquiries: Address inquiries regarding the status of liens promptly and provide updates as needed.
5. Update Files: Add lien amounts to case files once received and ensure accurate documentation of all lien-related information.
6. Conditional Payout Letters: Obtain conditional payout letters and send them back to insurance companies, such as USAA, when requested to facilitate case settlements.
7. Utilize Health Insurance Information: Collaborate with clients and case managers to utilize provided health insurance information in retrieving subrogation amounts effectively.

Minimum Requirements:

• Background in health insurance required.
• Previous experience as a personal injury case manager is a plus.
• Previous experience in handling liens, particularly from insurance companies with ERISA or SELF PAY plans is required.
• Familiarity with health insurance information and subrogation processes
• High school diploma or equivalent; additional education or certification in relevant fields is a plus.

Requirements:

• Strong organizational and communication skills, with attention to detail.
• Ability to effectively utilize electronic portals and software for document submission and retrieval.
• Proficiency in managing multiple tasks and priorities in a fast-paced environment.