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Subrogation Specialist [Remote]

SGS Consulting

Remote
  • Remote job

Job Responsibilities:

  • Ensure all processes meet HIPAA and Government security requirements regarding sharing, storage, and PHI (Personal Health Information).
  • Manage 700–1,000 subrogation cases at a time, including case notation and settlement negotiation.
  • Interact professionally with attorneys, insurance adjusters, medical providers, court staff, beneficiaries, family members, and clients through incoming and outgoing calls.
  • Prepare required correspondence, liens, claims, and related legal documents to advance case recovery.
  • Meet departmental standards for customer service, settlement goals, and file handling guidelines.
  • Perform document review, legal research, and case management to ensure proper workflow progression.
  • Confirm beneficiary eligibility documentation.
  • Conduct case document review and updates as necessary.
  • Validate third-party liability, probate matters, and beneficiary asset research.
  • Analyze and compile case data from multiple sources to determine case status and conclusions.
  • Process claim and lien disputes in coordination with attorneys and stakeholders.
  • Conduct periodic follow-ups on case status and recovery payments.
  • Negotiate and compromise claim/lien settlements per contract guidelines.
  • Sign and file notarized documents with counties for applicable cases.
  • Prioritize revenue-impacting case events and meet internal and legal deadlines.
  • Meet file handling and phone performance metrics.

Skills:

  • Subrogation
  • Medicaid and/or Medicare knowledge
  • Legal or Paralegal
  • Proficiency in Microsoft Office (Word & Excel)
  • Claim/ Claims
  • Excellent communication and legal case documentation skills

Education/Experience:

  • High School Diploma or equivalent required
  • Associate’s or Bachelor’s degree in Business, Legal Studies, Healthcare Administration, or related field preferred
Vacancy posted more than 2 months ago
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