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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in subrogation processes, including negotiation and recovery of overpayments related to workers' compensation and liability claims. Proficient in applying legal regulations and maintaining accurate recovery records while mentoring team members.
Highest-signal resume keywords
Subrogation RecoveryNegotiation SkillsWorkers' Compensation ClaimsCSRP CertificationLegal Liability Assessment
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 Settlement NegotiationPolicy DevelopmentLegal ComplianceMedical Charge ReviewLitigation Process ManagementRecord MaintenanceCoding KnowledgeInsurance Processes
Soft Skills
Training and MentoringCommunication SkillsProblem-Solving
Certifications & Qualifications
CSRP Certification
Industry Keywords
SubrogationLiability ClaimsCoordination of BenefitsHealthcare RegulationsLegal Procedures
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
- Create and maintain department policies and procedures
- Train new staff and work on special department projects
- Apply applicable laws, regulations, and policy language to achieve recoveries in accordance with mandates
- Negotiate lien settlements with attorneys and other responsible representatives to obtain maximum recovery
- Assist in responding to Summons and Complaint and interrogatories from attorneys where suit has commenced
- Communicate legal rights to involved parties and provide notice of liens
- Review medical charges to identify relatedness
- Maintain detailed recovery records and accurate case facts
- Maintain technical skill and knowledge of recovery processes as a department resource
- Mentor Recovery Specialists through efficient and accurate litigation processes
- Develop and maintain subrogation department procedures and current position resources
- Review 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 six years’ applicable work experience
- Minimum of three years’ 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