Subrogation Professional 2-WAH in US

Profile

Job Information

Humana

Subrogation Professional 2-WAH in US

in

Pittsburgh

Pennsylvania

Description

The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health insurance. The Subrogation Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Subrogation Professional 2 interacts with attorneys and third-party insurance professionals to explore where there may be liability and negotiate and coordinate claim payments. Ensure Coordination of Benefits (COB) records for members who have other insurance coverage are up-to-date. Respond to subrogation inquiries regarding third-party liability policies and procedures. Career-Development position within field. Conducts tasks and assignments as directed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

High school diploma or equivalent

Minimum of 3 years Subrogation experience in healthcare and/or property and casualty with a proven record of maximizing financial recoveries

Strong Microsoft Office proficiency - ability to create forms, reports, and documents in Word, Excel

Strong written and verbal communication skills

Highly analytical and tech-savvy

Strong organizational abilities

Ability to manage multiple time sensitive tasks

Excellent ability to interact with associates at all levels of the organization

This is a Work from home position that will require travel of less than 5%

For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve

If progressed to offer, you will be required to:

*Provide proof of full vaccination, including booster or commit to testing protocols OR  *

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available.

Preferred Qualifications

Associate or Bachelor's degree

Access knowledge

Bilingual in English and Spanish- written and verbal

Additional Information

Health/Vision/Dental Benefits Effective day one

Competitive pay/salary ranges

PTO

VTO day

Associate Incentive Plan

401K Match- Immediate Company match of 125 percent on the first 6 percent of your pretax 401(k) or Roth 401(k) contributions.

Well-being program

Tuition Reimbursement

Work at Home/Remote Requirements

Must ensure designated work area is free from distractions during work hours and virtual meetings

Must provide a high-speed DSL or cable modem for a workspace (Satellite, wireless and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com