Subrogation Professional 2 - WAH

Profile

Description

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.

Responsibilities

The Subrogation Professional 2 interacts with attorneys and third-party insurance professionals to explore where there may be liability and negotiate and coordinate claim payments. Ensure Coordination of Benefits (COB) records for members who have other insurance coverage are up-to-date. Respond to subrogation inquiries regarding third-party liability policies and procedures. Career-Development position within field. Conducts tasks and assignments as directed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

3 years of healthcare subrogation experience

Strong written and verbal communication skills

Strong Microsoft Office proficiency - ability to create forms, reports, and documents in Word, Excel, and Access

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

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Associate or Bachelor's degree

Bilingual in English and Spanish- written and verbal

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com