Remote Subrogation Specialist – Claims Recovery & Liens

Humana Inc; Dover; Remote; GBP 44,000 - 51,000; Full time

Job summary

Humana Inc. is seeking a Subrogation Professional 2 to join our caring community. The role investigates accident and claim events to determine Humana's recovery rights, gathers information from members, providers, adjusters, and attorneys, reviews payments, creates liens, and negotiates repayment when appropriate.

You will report to a Supervisor and work remotely. The position may require occasional travel to Humana offices for training or meetings; typical hours are full-time, 40 per week, with

Qualifications

• 2+ years of subrogation claims handling experience in healthcare, property and casualty, or worker's compensation.
• 2+ years phone customer service experience dealing with escalated situations involving attorneys, providers, and/or members.
• Microsoft Office proficiency — ability to create forms, reports, and documents in Word and Excel.
• Experience multitasking within several computer systems throughout the day.
• Basic proficiency with computers, email, phone systems, and data entry.
• Strong verbal and written communication skills.

Responsibilities

• Review new accident, injury, or claim events to determine whether subrogation or other party liability may apply.
• Contact members, providers, insurance adjusters, attorneys, and other involved parties by phone or email to gather claim details.
• Investigate the facts of the accident or claim, including what happened, date and location, fault, all parties involved, and insurance coverage information.
• Create, update, and maintain liens based on eligible paid claims; communicate lien information to attorneys, adjusters, and other appropriate parties; negotiate repayment when needed.
• Remain calm and professional during negotiations or disputed claims; document conversations, research, actions, decisions, and updates thoroughly.
• Follow up on outstanding claims, liens, documentation, and recovery opportunities; balance workload and manage priorities.

Skills

Subrogation claims handling

Phone customer service

Microsoft Office

Multitasking

Written communication

Education

Undergraduate degree

Tools

Microsoft Office (Word/Excel)

Claims systems

Job description

Humana Inc. is seeking a Subrogation Professional 2 to join our caring community. The role investigates accident and claim events to determine Humana's recovery rights, gathers information from members, providers, adjusters, and attorneys, reviews payments, creates liens, and negotiates repayment when appropriate.

You will report to a Supervisor and work remotely. The position may require occasional travel to Humana offices for training or meetings; typical hours are full-time, 40 per week, with