Remote Subrogation Investigator

Humana Inc; Denver (CO); Remote; USD 59,000 - 68,000; Full time

Job summary

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events to determine Humana's recovery opportunities. You will gather details from members, providers, adjusters, and attorneys, review payments, and manage liens.

The role reports to a Supervisor and supports high-volume workflows with precision. Remote work from home is typical, with occasional travel to Humana offices for training or meetings.

Qualifications

• 2+ years of subrogation claims handling experience in healthcare, property and casualty, or worker's compensation insurance
• 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 date, location, fault, and parties involved
• Review claim payment information to determine amounts paid by Humana related to the accident or claim
• Create, update, and maintain liens based on eligible paid claims
• Negotiate lien repayment amounts with attorneys or other parties as needed

Skills

Subrogation claims

Phone customer service

MS Office

Multitasking

Data entry

Communication skills

Education

Undergraduate degree

Job description

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events to determine Humana's recovery opportunities. You will gather details from members, providers, adjusters, and attorneys, review payments, and manage liens.

The role reports to a Supervisor and supports high-volume workflows with precision. Remote work from home is typical, with occasional travel to Humana offices for training or meetings.