Specialist, Senior Subrogation
Specialist, Senior Subrogation
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Job Description
Summary
We have an opening for the position of Senior Subrogation Specialist at BlueCross BlueShield of South Carolina. In this role you will identify and pursue subrogation and workers compensation recoveries. You will negotiate settlements of amounts owed to the company. The position involves managing approximately 400 cases and overseeing annual collections of approximately $500000. Additionally the Senior Subrogation Specialist will serve as a work leader for the department and be recognized as a subject matter expert.Why should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades we have been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nations leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy consider joining our team!
Description
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 4101 Percival Road Columbia SC 29229.
What Youll Do:
Trains new employees and performs quality checks of the work performed by subrogation specialists. Assists with coverage and caseload due to vacant positions.
Analyzes laws regulation and contract language concerning the pursuit of subrogation and workers compensation reimbursements. Reviews claims history to determine the lien amount and assert lien against interested parties based on applicable laws. Reviews updates and makes status contacts accordingly until case is ready for settlement.
Negotiates 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.
Maintains effective public relations with external and internal units by providing accurate and prompt responses to inquiries.
To Qualify For This Position Youll Need The Following:
Required Education: High School Diploma or equivalent
Required Work Experience: 3 Years Experience in claims and/or subrogation.
Skills and Abilities: Analyzes 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
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans dental and vision coverage
401k retirement savings plan with company match
Life Insurance Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance Service Recognition
National discounts to movies theaters zoos theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
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 individuals with disabilitiesand protected 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 disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment please email or call 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.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.
Some states have required notifications. Heres more information.
Required Experience:
Senior IC
Employment Type
Full-Time
