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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in identifying and recovering overpayments related to workers' compensation and liability claims, while applying relevant laws and regulations. Proficient in negotiating settlements and maintaining accurate recovery records.
Highest-signal resume keywords
Subrogation RecoveryWorkers' Compensation Claim AdjudicationNegotiation SkillsLegal Liability AssessmentCSRP Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ResearchOverpayment RecoveryLien NegotiationLegal ComplianceMedical Charge Review
Soft Skills
Communication SkillsAttention to Detail
Certifications & Qualifications
CSRP Certification
Industry Keywords
Liability ClaimsNo-Fault ClaimsHospital LiensCoordination of BenefitsInterrogatories
About the role
Key responsibilities & impact- Identify and research third party claims
- Recover overpayments involving workers compensation, no-fault, hospital liens, and other accident or liability claims
- Identify legal liability and pursue, negotiate, and settle subrogation, liens, and reimbursement recoveries
- Apply applicable laws, regulations, and policy language to achieve recoveries in accordance to mandates
- Negotiate lien settlements with attorneys and other responsible representatives to obtain maximum recovery
- Assist in response to Summons and Complaint and interrogatories from attorneys where suit has been commenced
- Communicate legal rights to involved parties and place them on notice of lien
- Review medical charges to identify relatedness
- Maintain detailed recovery records and accurate case facts
- Maintain technical skill and knowledge of recovery processes and meet ongoing competency requirements
Requirements
What you’ll need- Associates degree in business, legal, or healthcare related field required
- In lieu of education leadership may accept three years’ applicable work experience
- Minimum of one year work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication
- CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred