Specialist, Senior Subrogation

Summary
 Identifies and pursues subrogation and worker’s compensation recoveries. Negotiates the settlement of monies due to the company. Manages a workload of approximately 400 cases and the collection of approximately $500,000 annually. Functions as workleader for the area and is considered the subject matter expert.
Description
 

Logistics:

This is a full-time (40 hours) position working on-site at 4101 Percival Rd, Columbia, SC 29229.

What You’ll Do:

• Train new employees and perform quality checks of the work performed by subrogation specialists. Assist with coverage and caseload due to vacant positions.

• Analyze laws, regulation, and contract language concerning the pursuit of subrogation and workers compensation reimbursements. Review claims history to determine the lien amount and assert lien against interested parties based on applicable laws. Review, update, and make status contact accordingly until case is ready for settlement.

• Negotiate with attorney, liability carriers, and members for final settlement. Under supervision of managing attorney, argues relevant subrogation laws concerning Erisa pre-emption, common fund rule, made whole rule, and other doctrines. Reconciles monies recovered.

• Maintain effective public relations with external and internal units by providing accurate and prompt responses to inquiries.

To Qualify for This Position, You’ll Need:

• High School Diploma or equivalent

• 3 Years Experience in claims and/or subrogation.

• Analyze laws, regulations, and contract language.

• Evaluates issues and develops recommendations.

• Handles confidential and sensitive information.

• Investigates assigned claims.

• Proposes claims adjustments and refunds.

• Works claims caseloads.

What We Can Do for You:

• 401(k) retirement savings plan with company match.

• Subsidized health plans and free vision coverage.

• Life insurance.

• Paid annual leave – the longer you work here, the more you earn.

• Nine paid holidays.

• On-site cafeterias and fitness centers in major locations.

• Wellness programs and healthy lifestyle premium discount.

• Tuition assistance.

• Service recognition.

• Incentive Plan.

• Merit Plan.

• Continuing education funds for additional certifications and certification renewal.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.