Remote Subrogation & Recovery Specialist

Humana Inc; Honolulu (HI); 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 right to recover claim payments. You will gather information from members, providers, adjusters, attorneys, and other parties, review payments, create liens, and negotiate recovery when appropriate.

The role is remote with occasional travel to Humana offices for training. You will work in a high-volume environment, maintain thorough documentation, and communicate clearly 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
• Proficiency with Microsoft Office to create forms, reports, and documents
• Ability to multitask across several computer systems throughout the day
• 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, who was at fault, all parties involved, insurance coverage, and attorney information
• Review claim payment information and create, update, and maintain liens based on eligible paid claims
• Negotiate lien repayment amounts with attorneys or other parties as needed
• Document all conversations, research, actions taken, decisions made, and claim updates in the appropriate systems
• Balance daily workload and manage multiple sources to meet productivity and recovery expectations

Skills

Subrogation experience

Phone customer service

Communication skills

Multitasking

Data entry / computer skills

Education

Undergraduate degree

Tools

Microsoft Office

Job description

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events to determine Humana's right to recover claim payments. You will gather information from members, providers, adjusters, attorneys, and other parties, review payments, create liens, and negotiate recovery when appropriate.

The role is remote with occasional travel to Humana offices for training. You will work in a high-volume environment, maintain thorough documentation, and communicate clearly with