Subrogation Specialist (Healthcare)

Job description

This is a Remote Full-time opportunity This position requires the Subrogation Specialist to process a paperless health insurance subrogation caseload by investigating potential cases and pursuing med-pay, no-fault, liability, and workers’ compensation recoveries. Responsibilities include, investigating new potentials cases, placing outbound calls as well as submitting correspondence to health plan members, insurance companies, and attorney offices. The Subrogation Specialist coordinates efforts with other members of the subrogation team to maximize recovery in accordance with EXL’s Subrogation Policies and Procedures. Complying with HIPAA regulations as well as EXL’s HIPAA and Information Security policies and procedures, including required training and incident reporting. - Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts. - Review, Identify and develop subrogation opportunities by gathering missing information and potential sources of recovery. - Place parties of interest on notice - Organize and structure investigations to work in priority order using the tools provided....