Subrogation Specialist (onsite) - Unified Group Services Inc

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 PM

Pay 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.