Workers' Comp Subrogation & Claim Recovery Specialist

The Phia Group, LLC; Canton (MA); On-site; USD 47,000 - 63,000; Full time

Job summary

The Phia Group, a leader in claim recovery services for health benefit plans, seeks a WC Claim Recovery Specialist to manage workers’ compensation files and coordinate with attorneys, adjusters, and clients by phone and email. You will pursue potential subrogation opportunities, coordinate retractions, and provide accident details to ensure timely recoveries.

Ideal candidates have strong attention to detail, excellent communication, and the ability to handle a large caseload in a fast-paced

Qualifications

• High School Diploma or higher preferred.
• Must pass applicable test(s) administered by department manager.
• 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.
• Strong decision-making abilities to determine recovery potential and proper reimbursement.
• Outstanding organizational, interpersonal, and administrative skills.
• Must meet regular attendance expectations based on agreed-upon schedule.
• Maintain confidentiality and comply with HIPAA.

Responsibilities

• Contact insurance carriers to obtain claim information, including claim numbers, adjuster contact details, and mailing addresses.
• Call adjusters and attorneys to obtain status updates on accepted and appealed claims.
• Negotiate with adjusters and attorneys regarding claim resolution.
• Monitor the status of state-specific claims with outside counsel and state workers’ compensation boards.
• Ensure all state-specific filing deadlines are met.
• Provide clients with accident details, reduction requests, and related information.

Skills

Attention to detail

Excellent communication

Multitasking

Public contact

HIPAA compliance

Time management

Education

High School Diploma

Tools

TPS system

Job description

The Phia Group, a leader in claim recovery services for health benefit plans, seeks a WC Claim Recovery Specialist to manage workers’ compensation files and coordinate with attorneys, adjusters, and clients by phone and email. You will pursue potential subrogation opportunities, coordinate retractions, and provide accident details to ensure timely recoveries.

Ideal candidates have strong attention to detail, excellent communication, and the ability to handle a large caseload in a fast-paced