The Recovery Specialist investigates, evaluates, and negotiates healthcare subrogation matters, including complex injury and litigated cases. They are responsible for applying relevant laws, documenting case activity, and mentoring team members in subrogation skills.
The coordinator investigates and resolves claims by applying legal theories of coordination of benefits with automobile insurance and workers' compensation. They also initiate calls to members, providers, and insurance companies to gather necessary coverage information while ensuring compliance with state and federal policies.
