Subrogation Manager jobs in Oregon

Subrogation Manager is responsible for the daily operations of the department which processes subrogation claims according to established standards and schedules. Oversees the evaluation of subrogation claims and recovery of overpayments for duplicate coverage, workers' compensation, and no-fault claims. Being a Subrogation Manager develops and maintains efficient other party liability and coordination of benefits systems. May be responsible for hiring, training, and firing staff. Additionally, Subrogation Manager may require a bachelor's degree. Typically reports to a manager or head of a unit/department. The Subrogation Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Subrogation Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

C
Subrogation coordinator
  • Cambia Health Solutions, Inc
  • Jacksonville, OR FULL_TIME
  • Other Party Liability - Subrogation Coordinator

    Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below.

    Remote from WA, OR, ID, and UT

    Primary Job Purpose

    This position is responsible to pursue the Company's rights of subrogation and recovery to determine the Company's course of action in accidental, medical malpractice, and occupational injury claims and seek resolution of subrogation and recovery cases.

    Responsibilities require accurate and excellent desk and case management skills, interacting with members, and attorneys, with the goal of maximizing Company's recovery of claims payments advanced in third-party conditions.

    General Functions and Outcomes

    Determine and execute the Company's most advantageous course of action to recover claims payments advanced for third-party conditions.

    Administer and communicate the Company's position regarding contract exclusions and subrogation / recovery provisions.

    Analyze,and discuss with attorneys, insurance companies, insurance agents, brokers and members the resolution of subrogation / recovery interests to obtain maximum recovery of benefits paid in accordance with contract language.

    Review, approve, and send subrogation files to internal and external collection agency for collection, to include answering inquiries and correspondence regarding disputed accounts.

    Handle cases with efficiency and understanding up to $10000 value.

    Keep management and in-house counsel appraised of group and contract developments that impact recovery of claims payments advanced for third party conditions.

    Develop and maintain subrogation procedures for identifying subrogation cases, including recommendation and / or implementation of policy and procedural changes to improve unit productivity and third-party reimbursements, to include periodic review and update of all third-party "form" documents.

    Open cases and put appropriate parties on notice.

    Respond to telephone and written inquiries from attorneys, insurance companies, groups, providers, and members regarding subrogation, Workmen's Compensation, no-fault, and collection issues.

    Maintain a high case load, updating subrogation lists from claims histories and providing attorneys and adjusters with current subrogation totals to make certain the Company's interests are protected at time of settlement.

    Each file is reviewed at least four times a year.

    Provide copies of claims at the request of attorneys to ensure that our members and / or attorneys have full knowledge of benefits paid on the behalf of our subscribers.

    Utilize corporate file management, reporting, and savings tracking systems as required per standards established by the Company.

    Establish effective business relationships with internal and external business partners.

    Minimum Requirements

    Strong analytical and decision making skills

    Strong organizational, problem-solving, time-management skills with the ability to manage workload independently.

    Excellent relationship-building skills and be able to assist members, their attorneys, and other external and internal customers in navigating the health care system and understanding their obligations related to their health plan contract.

    Ability to exercise initiative and independently make decisions within the scope of assigned authority and to assume responsibility while operating with a minimum of supervision

    Ability to work as part of a team and demonstrate efficiency in caseload management and recovery maximization, working with a high volume of cases and keeping detailed and accurate records

    Ability to meet established deadlines, to triage and be flexible in evaluating competing priorities, and be responsive, available, and timely

    Demonstrated proficiency with a PC, including working knowledge of Word, and Excel

    Normally to be proficient in the competencies listed above

    The Subrogation Coordinator would have a Bachelor's degree in a business related field and 1-2 years of experience in Other Party Liability investigations and accident review or equivalent combination of education and experience.

    Work Environment

    Travel may be required, locally or out of state.

    May be required to work outside normal hours.

    LI-Remote

    Last updated : 2024-03-27

  • Just Posted

C
General Manager
  • Collision General Manager
  • Beaverton, OR FULL_TIME
  • Responsibilities: Actively lead center level performance though: key metrics, quality, individual skill levels and culture Communicate and manage the change process Stay abreast of current vehicle rep...
  • 10 Days Ago

C
General Manager
  • Collision General Manager
  • Portland, OR FULL_TIME
  • ** This position offers bonus potential of up to half the annual salary** Responsibilities: Actively lead center level performance though: key metrics, quality, individual skill levels and culture Com...
  • 28 Days Ago

C
Other Party Liability - Subrogation Coordinator
  • Cambia Health Solutions
  • Oregon, OR FULL_TIME
  • Other Party Liability - Subrogation Coordinator Remote from WA, OR, ID, and UT Primary Job Purpose This position is responsible to pursue the Company’s rights of subrogation and recovery to determine ...
  • 13 Days Ago

S
Aerie - Store Team Leader (Store Manager) - US
  • Store Team Leader (Store Manager) - US - American Eagle Outfitters Careers
  • United States, OR FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Store Team Leader, you are the CEO of your store! You are an entrepreneurial-minded business owner who takes pride in maximizing the daily operatio...
  • 18 Days Ago

A
Manager
  • Actalent
  • Tigard, OR OTHER
  • Overview On Premise Manager Why Actalent? Actalent is an operating company of Allegis Group, the global leader in talent solutions. We are a privately held organization with 250 offices nationwide and...
  • 24 Days Ago

D
Manager
  • Dunkin' - Franchisee Of Dunkin Donuts
  • Northbridge, MA
  • Here at Dunkin’ we’ll teach you life skills from day one – whether Dunkin’ is your first job or you’re making it your ca...
  • 3/28/2024 12:00:00 AM

C
Nurse Manager of Case Management
  • Clinical Management Consultants
  • San Francisco, CA
  • A new opportunity has just become available for a Nurse Manager of Case Management with a reputable hospital in the beau...
  • 3/28/2024 12:00:00 AM

Q
Assistant Manager, Sentence Management
  • Queensland
  • Logan, UT
  • Workplace Location Logan - Beaudesert **In this role you will:** - Be a key member of the management team that ensures d...
  • 3/28/2024 12:00:00 AM

U
Senior Manager, Program Management
  • Universal Orlando
  • Orlando, FL
  • Universal Orlando Resort believes in-person collaboration is key to our success. Many of our Team Members work in a hybr...
  • 3/26/2024 12:00:00 AM

G
Senior Manager, Project Management
  • Genmab
  • ジェンマブは、革新的で独自性のある抗体治療薬の開発に注力し、患者さんの人生をより豊かにすることを目的としています。 The Project Manager works in partnership with the JDTL, GPM an...
  • 3/26/2024 12:00:00 AM

P
Manager
  • Pure Taqueria
  • Duluth, GA
  • Description: Superior Quality Food & Beverage Achieve objectives in food and beverage quality, efficiency, sanitation, c...
  • 3/25/2024 12:00:00 AM

S
Manager, Project Management Office
  • St. Jude Children's Research Hospital
  • Memphis, TN
  • Are you a dynamic healthcare IT leader with expertise in Epic Systems and a proven track record of project and people ma...
  • 3/24/2024 12:00:00 AM

L
Manager
  • LoanMax Title Loans
  • Janesville, WI
  • LoanMax Title Loans - Office Manager Are you looking for a stable, full time, management position with career potential?...
  • 3/24/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Subrogation Manager jobs
$96,776 to $135,464

Subrogation Manager in Boston, MA
Subrogation occurs when an insurer pays the insured for a loss caused by a third-party.
January 19, 2020
Subrogation Manager in Richmond, VA
WNS provides comprehensive subrogation services that provide clients with the following benefits.
January 23, 2020
Subrogation Manager in Poughkeepsie, NY
Our subrogation claim representatives take a creative, but grounded approach to recovery handling and when necessary, will pursue litigation to help ensure that all recovery rights are enforced.
December 22, 2019