Subrogation Specialist (onsite)

About the role

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. This is an in-the-office position located just off I-69 Exit 226.

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.
• You will work directly with our internal Account Executives on 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.

Qualifications

• High School Diploma or GED. Some college is helpful but not required.