BlueCross BlueShield of South Carolina
Part-Time Subrogation Specialist
BlueCross BlueShield of South Carolina, Columbia, South Carolina, us, 29228
SummaryIdentifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually.Description
Join a strong company and become a solid member of the team by assisting the Subrogation Specialists with the important work that they do for our members and providers. This part-time position is in place to give an opportunity, to a qualified and self- motivated candidate, to grow with our team in the following areas:
Analyzes laws, regulations, 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.
Negotiates with attorneys, 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.
Required Education:High School Diploma or equivalent
Required Work Experience:
1 year of claims processing, customer service or research/analysis experience.
Skills and Abilities:
Strong time management and organizational skills
Self-starter with the ability to work independently, while striving to meet deadlines
Strong MS Office skills
Will assist with and learn more about:
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
What to Expect Next
After submitting the application, our recruiting team members will review your
current and updated resume
to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Here's more information.
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 minorities, females, disabled individuals and 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 physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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.
Join a strong company and become a solid member of the team by assisting the Subrogation Specialists with the important work that they do for our members and providers. This part-time position is in place to give an opportunity, to a qualified and self- motivated candidate, to grow with our team in the following areas:
Analyzes laws, regulations, 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.
Negotiates with attorneys, 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.
Required Education:High School Diploma or equivalent
Required Work Experience:
1 year of claims processing, customer service or research/analysis experience.
Skills and Abilities:
Strong time management and organizational skills
Self-starter with the ability to work independently, while striving to meet deadlines
Strong MS Office skills
Will assist with and learn more about:
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
What to Expect Next
After submitting the application, our recruiting team members will review your
current and updated resume
to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Here's more information.
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 minorities, females, disabled individuals and 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 physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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.