Workers' Comp Subrogation & Claims Recovery Specialist

phiagroup; Canton (MA); On-site; USD 47,000 - 63,000; Full time

Job summary

The Phia Group is seeking a WC Claim Recovery Specialist to manage workers’ compensation files, communicating with attorneys, adjusters, and clients to coordinate reimbursement negotiations and support claim retractions.

The role involves handling time‑sensitive documents, staying updated on state-specific filing deadlines, and ensuring accurate plan documents review while maintaining confidentiality under HIPAA.

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.
• 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.
• Provide clients with accident details, reduction requests, and related information.
• Coordinate with healthcare providers to identify and secure overpayments.

Skills

Attention to detail

Excellent communication

Time management

Public contact

Education

High School Diploma or higher

Job description

The Phia Group is seeking a WC Claim Recovery Specialist to manage workers’ compensation files, communicating with attorneys, adjusters, and clients to coordinate reimbursement negotiations and support claim retractions.

The role involves handling time‑sensitive documents, staying updated on state-specific filing deadlines, and ensuring accurate plan documents review while maintaining confidentiality under HIPAA.