Subrogation Investigation Specialist

Overview

Now is the time to join us! 

We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Who are you?

The Subrogation Investigation Specialist position is a role where your primary responsibility is to support recovery of funds when one of our client’s members has been involved in an accident that was the cause of another party. You will be tasked with researching, documenting, and recording information based on phone calls, emails, and return files from 3rd party sources. We are seeking a talented individual for an Investigation Specialist who is responsible for researching medical claim information from insurance companies, gathering third party information from attorneys and insurance adjusters, and verifying attorney representation and/or liability insurance involvement.

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Making timely and appropriate contact interested parties and taking appropriate steps to secure evidence.
• Collect, review and provide supporting documents for subrogation demands, litigation and arbitrations.
• Ensure quality and timely service is provided to all internal and external customers including agents and policyholders.
• Work with assigned Legal Counsel and vendors where needed to pursue the company’s subrogation interest.
• Overseeing claim files with subrogation potential and offering direction to the claims department on the subrogation investigation.
• Escalate claims decisions regarding settlement determination when appropriate to management based on financial authority level.
• Expertly perform a variety of complex and specialized duties, which require a thorough knowledge of the function performed.
• Effectively communicate by phone or letters as requested
• May be responsible for the direction and training of others.
• Assists with other duties as assigned within the department or elsewhere on request.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• High School diploma or GED required.
• Minimum 1-2 years experience in health insurance industry, medical claims, data entry, or customer service required.
• Basic knowledge of Microsoft Word and Excel required.
• Basic computer proficiency required (typing, ability to navigate various websites).

• Strong ability to work independently and within a team.

• Excellent verbal and written communication skills.

• Detail-oriented, with a focus on accuracy in phone interactions and data entry.

• Professional demeanor when interacting with all levels of internal and external stakeholders.

• Familiar with HIPAA privacy and security rules.

• Committed to confidentiality and ethical standards.

• Basic knowledge of health insurance and related terminology preferred.

• Skilled in organizing and sharing information as needed.

• Able to meet deadlines effectively.

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• This position requires a basic understanding of subrogation management and the claims handling process;
• Candidate must have working knowledge and be proficient with Microsoft Excel, PowerPoint and Word;
• The ability to maintain deadlines and timeframes dictated by financial reporting requirements;
• To work within and extract information from the Claims systems of the TPA;
• The ability to work independently;
• The ability to be flexible to meet the daily challenges.

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $21.00 to $25.00 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.