WC Claims Recovery & Subrogation Specialist

The Phia Group; United States; Remote; USD 45,000 - 75,000; Full time

Job summary

The Phia Group seeks a Workers' Compensation Claim Recovery Specialist to manage WC subrogation files, coordinating with attorneys, adjusters, and clients by phone and email to negotiate recoveries and retract paid claims.

You will review plan documents, monitor deadlines, and communicate accident details to facilitate reimbursement while staying compliant with state laws and TPS processes.

Qualifications

• Excellent attention to detail with the ability to prioritize multiple tasks.
• Excellent communication skills as work entails constant public contact through telephone and written correspondence.
• Must maintain confidentiality and comply with HIPAA.

Responsibilities

• Contact insurance carriers to obtain claim information and mailing addresses.
• Call adjusters and attorneys to obtain status updates on claims.
• Negotiate with adjusters and attorneys regarding claim resolution.
• Maintain knowledge of state-specific case laws and fee schedules.
• Draft, mail, and fax correspondence.
• Monitor status of state-specific claims with outside counsel and boards.
• Ensure all deadlines are met for state-specific filings.
• Provide clients with accident details and related information.
• Coordinate with healthcare providers to identify and recover overpayments.
• Manage a large caseload while maintaining current claim status.

Skills

Attention to detail

Communication skills

Public contact

Time management

HIPAA compliance

Education

High School Diploma

Job description

The Phia Group seeks a Workers' Compensation Claim Recovery Specialist to manage WC subrogation files, coordinating with attorneys, adjusters, and clients by phone and email to negotiate recoveries and retract paid claims.

You will review plan documents, monitor deadlines, and communicate accident details to facilitate reimbursement while staying compliant with state laws and TPS processes.