The investigator is responsible for conducting investigations to determine subrogation potential by gathering accident details and reviewing claims. They will also maintain case management systems and coordinate with external customers to ensure accurate case documentation.
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.
