Subrogation Representative 3

Profile

Description

The Subrogation Representative 3 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 Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Responsibilities

The Subrogation Representative 3 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. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Required Qualifications

High School diploma or GED

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

Capacity to maintain confidentiality

Ability to manage multiple time sensitive tasks

Strong written and verbal communication skills

Strong organizational abilities

Strong typing and computer navigation skills, including use of multiple computer applications simultaneously

Preferred Qualifications

Associate or Bachelor's Degree

Subrogation or health insurance knowledge

Fully Bilingual/English/Spanish - able to speak, read and write in both languages without limitations or assistance.

Claims Processing Experience

Scheduled Weekly Hours

40

Company info

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