Remote Subrogation Specialist: Recovery & Negotiation

Humana Inc; Phoenix (AZ); 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 whether Humana may recover claim payments from another responsible party. You will gather information from members, providers, adjusters, attorneys, and other parties; review claim payments; create liens; and negotiate repayment when appropriate.

You will report to a Supervisor. This remote role requires handling a high-volume workload, maintaining detailed documentation, and using

Qualifications

• 2+ years of subrogation claims handling experience in healthcare, property and casualty, or workers’ 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 what happened, date and location, fault, and all 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
• Communicate lien information to attorneys, adjusters, and other appropriate parties
• Negotiate lien repayment amounts with attorneys or other parties as needed
• Document all conversations, research, actions taken, decisions made, and claim updates thoroughly
• Work independently while elevating complex issues when needed
• Balance daily workload and manage priorities to meet productivity and recovery expectations

Skills

Subrogation

Phone customer service

Microsoft Office

Multitasking

Communication (verbal & written)

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 whether Humana may recover claim payments from another responsible party. You will gather information from members, providers, adjusters, attorneys, and other parties; review claim payments; create liens; and negotiate repayment when appropriate.

You will report to a Supervisor. This remote role requires handling a high-volume workload, maintaining detailed documentation, and using