Subrogation Specialist, Sr. jobs in Oregon

Subrogation Specialist, Sr. is responsible for subrogation activities including the identification and research of subrogation claims. Assists in the recovery of overpayments. Being a Subrogation Specialist, Sr. coordinates with other departments, insurance representatives and members. Processes subrogation, workers' compensation, and other claims where third-party liability exists. Additionally, Subrogation Specialist, Sr. develops cases resulting from beneficiary or provider-initiated inquiries, internal referrals, personal research, or computer-generated reports. Requires a high school diploma. Typically reports to a supervisor. The Subrogation Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Subrogation Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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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

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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

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Sr Payroll Specialist
  • Radius Recycling
  • Portland, OR FULL_TIME
  • The Sr. Payroll Specialists’ primary responsibility is to ensure data accuracy in relation to payroll processing. This position will serve as a resource for multiple companies within the Radius Recycl...
  • 24 Days Ago

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Sr Human Resources Specialist
  • Radius Recycling
  • Portland, OR FULL_TIME
  • The Senior HR Specialist will play a key role on the HR Shared Services team at our corporate offices in Portland, Oregon. The Senior HR Specialist will be responsible for facilitating on the job trai...
  • 24 Days Ago

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Sr Ag Operations Specialist
  • Ag Jobs
  • Not specified, OR FULL_TIME
  • Requisition Number: Req-233990 Position Title: External Description: Serves as a liaison between the company and growers. Signs contracts, samples crops, evaluates crops and works with growers on thei...
  • 1 Day Ago

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Sr Ag Operations Specialist
  • Ag Jobs
  • Boardman, OR FULL_TIME
  • Title: Sr Ag Operations SpecialistAbout Lamb WestonWe love making fries almost as much as you like eating them! Since the 1950's, Lamb Weston has inspired customers with food they love, trust, and sha...
  • 2 Days Ago

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Sr. Subrogation Specialist
  • Connecticut Interlocal Risk Management Agency (CIRMA)
  • New Haven, CT
  • Connecticut Interlocal Risk Management Agency (CIRMA) Sr. Subrogation Specialist SR. SUBROGATION SPECIALIST Is your ordi...
  • 3/28/2024 12:00:00 AM

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Workers Compensation Claims Supervisor
  • Intercare Holdings Insurance Services
  • Glendale, CA
  • Workers Compensation Claims Supervisor Job Details Job Type Full-time Glendale, CA Description Summary: Reports directly...
  • 3/28/2024 12:00:00 AM

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Compliance Specialist
  • The Intersect Group
  • Irvine, CA
  • The Intersect Group is working with a client who is in search for a Compliance Specialist to join their team. Job Title:...
  • 3/28/2024 12:00:00 AM

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Director of Safety & Security
  • Transdev Inc.
  • Arcadia, CA
  • Job Description: Director Safety & Security Overview: The Safety and Security Director works under the general supervisi...
  • 3/27/2024 12:00:00 AM

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Auto/Collision Subrogation Specialist-A2
  • EXL
  • Hartford, CT
  • Company Overview: Trumbull Services, which is part of EXL Service (NASDAQ: EXLS), is a global end-to-end Insurance Servi...
  • 3/26/2024 12:00:00 AM

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Civil Litigation Attorney
  • REESE LAW GROUP APLC
  • San Diego, CA
  • Job Description Job Description Civil Litigation Attorney $110K - $150K Summary Reese Law Group is a Plaintiff’s law fir...
  • 3/26/2024 12:00:00 AM

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Entry Level Associate Attorney
  • REESE LAW GROUP APLC
  • San Diego, CA
  • Job Description Job Description Salary $80K - $100K Summary Reese Law Group is a Plaintiff’s law firm located in Carlsba...
  • 3/25/2024 12:00:00 AM

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Manager, Risk Management
  • Coda Search│Staffing
  • Plano, TX
  • Our client is a national Real Estate owner/operator who is seeking to hire a Risk & Claims Manager to manage the claims ...
  • 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 Specialist, Sr. jobs
$53,539 to $67,689