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Subrogation Professional II

Subrogation Professional II

HumanaHartford, CT, US
2 hours ago
Job type
  • Full-time
Job description

Become a Part of Our Caring Community and Help Us Put Health First

The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health insurance. The Subrogation Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Subrogation Professional II interacts with attorneys and third-party insurance professionals to explore where there may be liability and negotiate and coordinate claim payments. The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health insurance. This individual ensures coordination of benefits (COB) records for members who have other insurance coverage are up to date. This individual responds to subrogation inquiries regarding third-party liability policies and procedures. The Subrogation Professional II conducts tasks and assignments as directed and understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. This individual makes decisions regarding their own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. This individual follows established guidelines / procedures.

Use your skills to make an impact.

Required Qualifications :

  • Significant subrogation claims handling experience in healthcare, property and casualty, or worker's compensation insurance
  • Strong Microsoft Office proficiency ability to create forms, reports, and documents in Word, Excel, and / or Power BI
  • Strong written and verbal communication skills
  • Highly analytical and tech-savvy
  • Strong organizational abilities
  • Ability to manage multiple time sensitive tasks
  • Excellent ability to interact with associates at all levels of the organization

Work-At-Home Requirements :

  • At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home / Office associates with telephone equipment appropriate to meet the business requirements for their position / job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  • Preferred Qualifications :

  • Undergraduate degree
  • Knowledge of Microsoft Access
  • Bilingual in English and Spanish - written and verbal
  • Additional Information :

  • As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
  • If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and / or Video interview. Your recorded interview will be subsequently reviewed, and you will be informed if you will be moving forward to next round of interviews.
  • Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled Weekly Hours : 40

    Pay Range : $44,000 - $51,200 per year

    Description of Benefits :

    Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    About Us :

    Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer :

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.

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