Subrogation Specialist Unified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We're dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans. Unified Group Services has a reputation for excellent customer service in the marketplace, and this position is crucial to continuing that status. The Subrogation Specialist is a full-time position. This person will answer any questions on the Subrogation Agreement that our customers are asked to sign. The subrogation agreement is with a subrogation attorney that assists our customer's health plan in determining third-party liability and subrogation, including coordination of benefits that includes all Med Pay, Personal Injury Protection (PIP), or no-fault coverage.
Primary Responsibilities:- Work with the claims account manager once accident/injury information is received to determine if a third party is liable and if claims fall under covered benefits. Answer any questions that the plan participant has during the entire process.
- Receiving information and calls from the plan participant attorney handling the accident/injury claim.
- You will be in direct contact with the Plan's Subrogation Attorney providing information and obtaining information from them.
- You will work directly with our internal Account Executives on:
- Questions that our customers may have on the Subrogation Agreement we ask them to sign.
- Alerting customers on subrogation file details and options customers have Work with Reinsurance team members on any Stop Loss, including providing information to the reinsurance or aggregate carriers or to their attorney working the stop loss file.
- Work with the internal Appeals team on accident/injury-related claims and subrogation file appeals.
Job Qualifications:
High School Diploma or GED. Some college is helpful but not required.
Working knowledge of Microsoft Word, Excel, and Outlook is required.
Good math skills. Ability to interpret spreadsheet and insurance claim forms, strong problem-solving, and analytical skills.
Strong Attention to detail and the ability to meet deadlines is critical to success.
Professional phone communication skills that include being polite and courteous.
Good organizational skills and excellent customer service.
Ability to multitask with interruptions.
Ability to interpret plan document language and benefits.
Good writing skills using proper grammar, punctuation, and sentence structure.
Self-motivated & self-starter with a willingness to learn.
Excellent attendance. Hours Required: 40 per week- Monday through Friday 8:00 AM - 5:00 PMPay Basis: Hourly
Benefits:- Unified Group Services offers an excellent benefits package including: Medical, dental, and vision insurance Matching 401K plan Life insurance
- Short- & long-term disability Student loan debt payments
- Vacation and PTO time Health Clinic
- Sponsored wellness programs.
- Other Reasons to Work Here:
- Family-oriented, positive work environment
- Weekends off
- Voluntary overtime during peak season
- Recently voted one of the Best Places to Work in Indiana!
This is an in-the-office position. We are located just off I-69 Exit 226.Unified Group Services is an Equal Opportunity Employer.
