Senior Subrogation Claims Specialist

Blue Cross Blue Shield of Michigan; United States; Ibrido; USD 65.000 - 95.000; Tempo pieno

Descrizione del lavoro

Blue Cross Blue Shield of Michigan seeks an experienced Subrogation Examiner II/Senior to actively manage workers’ compensation subrogation claims. You will investigate liability, evaluate damages, negotiate settlements, and drive files toward final disposition with a strong emphasis on confidentiality and timely action.

The role requires knowledge of subrogation processes, medical and legal terminology, and the ability to handle multiple priorities in a dynamic environment.

Competenze

• Bachelor’s degree in insurance, business or related field; continuous learning expected.
• Certification or progress toward professional designation is preferred.

Mansioni

• Investigates, analyzes, determines potential liability, and settles with adverse parties.
• Completes other duties and special projects as requested.
• Recommends and advocates positions on subrogation claims.
• Develops and manages claim action plans to resolution and approves payments.
• Updates databases and prepares reports with standard software.
• Communicates with workers compensation claims handlers; negotiates settlements within authority.
• Exhibits independent judgment to settle cases prior to mediation or litigation.

Conoscenze

Subrogation process

Medical terminology

Deadline management

Analytical thinking

Negotiation

Confidentiality

Team collaboration

Formazione

Bachelor’s degree in insurance or related field

Descrizione del lavoro

Blue Cross Blue Shield of Michigan seeks an experienced Subrogation Examiner II/Senior to actively manage workers’ compensation subrogation claims. You will investigate liability, evaluate damages, negotiate settlements, and drive files toward final disposition with a strong emphasis on confidentiality and timely action.

The role requires knowledge of subrogation processes, medical and legal terminology, and the ability to handle multiple priorities in a dynamic environment.