Remote Subrogation Specialist

Humana Inc; Santa Fe (NM); Remote; USD 59,000 - 68,000; Full time

Job summary

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events, determine subrogation applicability, and negotiate lien repayments. You will gather details from members, providers, adjusters, attorneys, and others, and maintain thorough case documentation.

The role is remote with occasional travel to Humana's offices for training or meetings. Typical hours are 40 per week, with a base pay range of $58,700 to $68,200 per year and a bonus incentive plan eligibility.

Qualifications

• 2+ years subrogation claims handling in healthcare or insurance.
• 2+ years phone customer service handling escalated cases.
• Proficiency with Microsoft Office to create forms, reports, and documents.
• Ability to multitask across 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, and all parties involved.
• Review claim payment information to determine amounts paid by Humana and create or update liens.
• Negotiate lien repayment amounts with attorneys or other parties as needed; communicate with attorneys and adjusters.
• Document all conversations, research, actions taken, decisions made, and claim updates in the appropriate systems.
• Follow up on outstanding claims, liens, documentation, settlement information, and recovery opportunities.
• Manage a high-volume workload while meeting monthly productivity, quality, and recovery expectations.

Skills

Subrogation experience

Phone support

Multitasking

Computer basics

Verbal & written communication

Education

Undergraduate degree

Tools

Microsoft Office

Job description

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events, determine subrogation applicability, and negotiate lien repayments. You will gather details from members, providers, adjusters, attorneys, and others, and maintain thorough case documentation.

The role is remote with occasional travel to Humana's offices for training or meetings. Typical hours are 40 per week, with a base pay range of $58,700 to $68,200 per year and a bonus incentive plan eligibility.