Subrogation Specialist

juliansanderslaw; Atlanta (GA); On-site; USD 45,000 - 60,000; Full time

Job summary

juliansanderslaw in Atlanta is seeking a Subrogation Specialist to manage liens from insurance companies, focusing on ERISA and SELF PAY plans. This role involves critical coordination to ensure timely case settlements by collecting necessary documents and information.

The ideal candidate will have a background in health insurance, strong organizational, communication skills, and the ability to navigate electronic documentation efficiently.

Qualifications

• Experience with ERISA or SELF PAY plans.
• Understanding of subrogation processes.
• Prior personal injury case management experience is beneficial.

Responsibilities

• Manage lien requests from insurance companies.
• Follow up on ERISA letters and submit required documents.
• Notify negotiators about lien statuses and updates.
• Update case files with lien amounts and related information.
• Collaborate with clients to retrieve subrogation amounts.

Skills

Health insurance knowledge

Organizational skills

Communication skills

Detail-oriented

Multitasking ability

Education

High school diploma or equivalent

Additional education or certification

Job description

Job Description

The Subrogation Specialist plays a critical role in our organization, responsible for managing liens from insurance companies, particularly those related to ERISA or SELF PAY plans. This position involves coordinating with various parties to obtain required documents and information necessary for case settlements. The Subrogation Specialist ensures timely follow-up on ERISA letters, submission of information to required parties, and communication with negotiators regarding lien status.

Essential Duties and Responsibilities

1. Request Liens: Initiate lien requests from insurance companies with ERISA or SELF PAY plans as necessary for case settlements.
2. Follow-Up and Submission: Follow up on ERISA letters previously sent by case managers and submit all required information electronically or via certified mail to obtain necessary documents for case settlements.
3. Notification and Documentation: Notify negotiators upon receipt of liens and notate the file accordingly. Ensure that liens are obtained before offers are made on cases.
4. Respond to Inquiries: Address inquiries regarding the status of liens promptly and provide updates as needed.
5. Update Files: Add lien amounts to case files once received and ensure accurate documentation of all lien-related information.
6. Conditional Payout Letters: Obtain conditional payout letters and send them back to insurance companies, such as USAA, when requested to facilitate case settlements.
7. Utilize Health Insurance Information: Collaborate with clients and case managers to utilize provided health insurance information in retrieving subrogation amounts effectively.

Minimum Requirements

• Background in health insurance required.
• Previous experience as a personal injury case manager is a plus.
• Previous experience in handling liens, particularly from insurance companies with ERISA or SELF PAY plans is required.
• Familiarity with health insurance information and subrogation processes
• High school diploma or equivalent; additional education or certification in relevant fields is a plus.

Requirements

• Strong organizational and communication skills, with attention to detail.
• Ability to effectively utilize electronic portals and software for document submission and retrieval.
• Proficiency in managing multiple tasks and priorities in a fast-paced environment.