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This role is accountable for developing subrogation cases after initial investigation, managing coordination of claim payments, and recovering first-party funds. The incumbent determines all potential sources of recovery and prepares cases for paralegals to negotiate liability claims.
Responsibilities
- Review, identify, and develop subrogation opportunities by gathering missing information and potential sources of recovery
- Research and analyze information gathered through continuous investigation
- Record and maintain detailed and accurate records
- Validate claim viability and terminate pursuit when necessary; respond timely to all electronic, written and verbal communications
- Place parties of interest on notice and send subsequent demand letters
- Continuously research and make outbound calls to request case information or status to drive cases to be prepared for settlement
- Maintain detailed and accurate case records and calendar diaries to monitor case activities to meet department expectations
- Engage advice and/or help of Negotiators/Paralegals to proactively resolve and/or transfer cases
- Ensure compliance of state and federal laws and maintain department productivity and quality standards
- Take transferred calls and/or documents from inbound investigation teams to provide a resolution to the enquiry
Requirements
- Minimum high school diploma
- 2+ years of subrogation, collections, insurance or coordination of benefits (COB) experience
- Working knowledge of Microsoft Office
- Internet research skills
- Excellent communication skills (both verbal and written)
- Strong organizational and time management skills
- Ability to multi-task and work independently
- Strong analytical, problem solving and decision-making skills
- Ability to exercise good judgment
- Ability to define problems, collect data, establish facts, and draw valid conclusions
Qualifications
- Minimum high school diploma coupled with two (2) years of subrogation, collections, insurance or coordination of benefits (COB) experience. Bachelor's degree in a relevant field is preferred.
- 2+ years of subrogation, collections, insurance or coordination of benefits (COB) experience
Nice to Have
- Bachelor's degree in a relevant field
Skills
Microsoft Office
*
* Required skills
Benefits
Life Insurance
Paid parental leave
Long-Term Disability
Employee Assistance Program
10 paid company holidays
401(k) Match
Tuition Reimbursement
Dental coverage
Vision coverage
Flexible Spending Account
Employee Stock Purchase Plan
Short-Term Disability
Medical coverage
Generous paid time off
Sick time benefits
About Claritev
Claritev is an innovative team on a mission to bend the cost curve in healthcare for everyone. We are committed to service excellence and support internal teams, partners, and communities with care and intention.
Healthcare
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