Remote Subrogation Specialist — Claims Recovery & Negotiation

Humana Inc; Austin (TX); Remote; USD 59,000 - 68,000; Full time

Job summary

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events and determine whether Humana may recover payments. You will gather information from members, providers, adjusters, attorneys, and other parties, review payments, and create liens.

Remote work is supported, with occasional travel for training or meetings. You will report to a Supervisor and balance a high-volume workload while maintaining quality and recovery goals.

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
• Strong verbal and written communication skills
• Proficient in Microsoft Office (Word and Excel)

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/location, fault, and involved parties
• Create, update, and maintain liens based on eligible paid claims and communicate with attorneys, adjusters, and other parties
• Negotiate lien repayment amounts with attorneys or other parties as needed
• Document all conversations, research, actions taken, decisions made, and claim updates in the systems
• Balance daily workload and meet monthly productivity, quality, and recovery expectations
• Work independently while knowing when to elevate complex issues or seek guidance

Skills

Subrogation claims handling

Phone customer service

Communication skills

Multitasking

Data entry

Tools

Microsoft Office

Job description

Humana Inc. is seeking a Subrogation Professional 2 to investigate accident and claim events and determine whether Humana may recover payments. You will gather information from members, providers, adjusters, attorneys, and other parties, review payments, and create liens.

Remote work is supported, with occasional travel for training or meetings. You will report to a Supervisor and balance a high-volume workload while maintaining quality and recovery goals.