Remote Subrogation Specialist – Claims Recovery

Humana Inc; Olympia (WA); Remote; USD 59,000 - 68,000; Full time

Job summary

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident, injury, and claim events to determine Humana’s recovery rights. You will work remotely, gather details from members and parties, review payments, and negotiate liens as needed.

The role requires 2+ years in subrogation claims handling and strong communication skills, with occasional travel to Humana offices for training. Pay range is $58,700–$68,200 yearly, with a bonus plan potential.

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, etc.
• 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, who was at fault, and all parties involved.
• Review claim payment information and create, update, and maintain liens based on eligible paid claims.
• Communicate lien information to attorneys, adjusters, and other appropriate parties; negotiate lien repayment amounts as needed.
• Document all conversations, research, actions taken, decisions made, and claim updates thoroughly in the appropriate systems.
• Balance daily workload and manage multiple sources of claims; work independently and know when to escalate complex issues.

Skills

Subrogation claims

Phone customer service

MS Office

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, injury, and claim events to determine Humana’s recovery rights. You will work remotely, gather details from members and parties, review payments, and negotiate liens as needed.

The role requires 2+ years in subrogation claims handling and strong communication skills, with occasional travel to Humana offices for training. Pay range is $58,700–$68,200 yearly, with a bonus plan potential.