Specialist, Subrogation

About the role

Identifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually. BlueCross BlueShield of South Carolina is a leading insurance company in South Carolina, administrator of government contracts, operates a sophisticated data processing center, and offers a diverse family of subsidiaries. This full-time position is located at 4101 Percival Road, Columbia, SC 29229, Monday‑Friday, 8:00 AM‑4:30 PM (40‑hours/week). The role is not eligible for sponsorship now or in the future.

Responsibilities

• 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.

Qualifications

Required Education: High School Diploma or equivalent

Required Work Experience: 1 year of claims processing, customer service or research/analysis experience.

Required Skills and Abilities:

• 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

Skills

Preferred Skills and Abilities:

• Organizational skills
• Time Management
• Good writing skills
• Teamwork

Benefits

Our Comprehensive Benefits Package Includes:

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

Benefits are eligible for the first of the month following 28 days of employment.

Schedule

Full‑time, 40‑hours/week, Monday‑Friday, 8:00 AM‑4:30 PM.