Subrogation Specialist
- Bloomington, MN, United States
$11.41 USD / hour
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Job details
- Pay
- $11.41 USD / hour
- Posting language
- English
- Posted
Original job description
Job Duties
HealthPartners is hiring a Subrogation Specialist. The Subrogation Specialist represents HealthPartners' interests in subrogation recovery activities as a member of the Payment Integrity Team. This position independently manages routine and complex subrogation cases to successful resolution by evaluating liability, causation, contractual rights, and applicable statutory and case law. Through effective negotiation, advocacy, and legal analysis, the Subrogation Specialist pursues maximum recovery on behalf of HealthPartners while ensuring accurate documentation, compliance, and appropriate escalation of legal matters.
MINIMUM QUALIFICATIONS
Education, Experience or Equivalent Combination
Bachelor's degree in Business, Paralegal, Insurance, or a Healthrelated field or seven (7) years of related experience
Five (5) or more years of insurance litigation or subrogation program experience
Demonstrates an understanding of tort theories and subrogation principles
Ability to review and interpret medical reports, contractual language, statutory law, and case law
Licensure / Registration / Certification
None required
Knowledge, Skills, and Abilities
Excellent oral and written communication skills
Proven negotiation skills
Analytical with a strong attention to detail and accuracy
Ability to make independent decisions and manage adverse parties
Demonstrated planning, organizational, and time management skills
Reliable and regular attendance
Reliable transportation for limited local travel
PREFERRED QUALIFICATIONS
Education, Experience or Equivalent Combination
Bachelor's degree in Business, Insurance, or Healthrelated field
Licensure / Registration / Certification
Paralegal certification
ESSENTIAL DUTIES
(45%) - Case Management & Legal Analysis
Obtain information from a variety of sources necessary to pursue subrogation claims to a successful conclusion.
Monitor assigned files timely and determine appropriate next actions.
Review medical claims and subrogation files and generate pleadings and correspondence to courts, insurers, and opposing parties.
Interpret member contractual terms, statutory law, and case law to determine HealthPartners' subrogation rights.
Record all relevant case information in the Subrogation Case Management System.
Maintain organized, accurate, and complete case files.
Identify matters requiring Subrogation Supervisor or outside counsel involvement.
(30%) - Settlement Authority
Exercise discretion and independent judgment to evaluate and settle HealthPartners' subrogation claims against responsible parties.
Analyze liability, causation, contractual rights, and current case law when determining settlement strategy and outcomes.
Respond to settlement demands and legal positions consistent with HealthPartners' interests and applicable law.
(15%) - External Communication & Representation
Draft accurate, professional, and persuasive written correspondence to attorneys, insurers, courts, and other parties.
Attend settlement conferences, pretrials, hearings, and mediations as a representative of HealthPartners.
Present evidence to opposing parties and administrative law judges to support HealthPartners' claims.
Act as an advocate for HealthPartners regarding the legal and substantive posture of assigned cases.
(10%) - Internal Coordination
Coordinate with HealthPartners' Claims Departments to identify potential subrogation cases.
Gather factual and claims information necessary to assert specific subrogation rights.
Maintain and monitor accurate internal data related to assigned claims.
Provide subrogation guidance and training to the Payment Integrity Team
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Minimum Education Required
Bachelor Degree
Minimum Experience Required
7 years
Shift
First (Day)
Number of Openings
1
Public Transportation Accessible
Yes
Veterans Encouraged to Apply
No
Physical Required
Yes
Drug Test Required
Yes
Compensation
$11.41 / Hourly
Postal Code
55420
Job Type
Full Time
Place of Work
On-site
Requisition ID
122167
Job Benefits
Not specified
More about this job
Skills
- Negotiation
- Legal research
- Documentation
- Regulatory compliance
- Paralegal
- Litigation
- Communication skills
- Attention to detail
- Time management
- Case management
- Present evidence