A Subrogation Specialist works for the insurance industry and takes charge of determining the viability of the claims. A professional Subrogation Specialist Resume indicates the following key duties – preparing the case files, assisting with the investigation and claims adjustment, negotiating settlements; collaborating with subrogation counsel, reviewing case files; evaluating and interpreting subrogation potentials; providing professional and responsive assistance on subrogation; updating status reports; developing and maintaining all subrogation files; and providing assistance to assigned claims.
The ideal candidate for this post should highlight the resume with the following job assets – a thorough understanding of insurance claim procedures; time management skills, computer competencies, decision-making skills, confidentiality; strong skill sets in financial reviewing and analyses; and strong knowledge of various personal lines products. Successful resumes denote different educational backgrounds and relevant work experience.
Summary : To obtain a position in a company where can contribute office talents, Team leadership and hardworking demeanor and also enables to learn every aspect of that job as possible to always better and help when and where can. Hard work ethic will always define and be a number one priority of mine.
Skills : Effective Communication, liaison, requirement gathering, analytical, troubleshooting, process flows and insurance knowledge.
Description :
Insuranced subrogation National service Bureau, Bothell WA Working as an insurance subrogation agent.
Provided customer care to our clients State Farm.
Reported license suspension to each state in the nation.
Opened and closed insurance claims for accepted liability or denying liability.
Placed files into arbitrary.
Handled Insurance and uninsured subrogation losses Submitted uninsured motorist for certification of driver's license until claim is resolved in full .
Negotiated payment plans and settlements for post-judgment files in six states.
Experience
7-10 Years
Level
Management
Education
BS
Subrogation Specialist III Resume
Objective : To obtain a challenging and rewarding career in which able to acquire knowledge and experience, while contributing to the success of employer and team.
Skills : Solid Customer Service , Efficient in making appointments and managing secure data.
Description :
Assisted in the subrogation department to obtain insurance reimbursements.
Updated and maintained all information in electronic database.
Used multiple office software application programs and databases.
Maintained complex filing system.
Assisted immediate supervisor upon request.
Responsible for a loving caring, and safe environment for said children.
Assisted Program Director upon request.
Experience
2-5 Years
Level
Executive
Education
BS
Subrogation Specialist II Resume
Headline : Excellent communication skills have been developed through client/vendor relationships, Served as liaison between Business Partners and System Analyst; Excellent experience with the use of Service Manager for the purposes of resolving and documentation of ticket. Experience with Pivot tables for the purpose of providing data analysis; Proven record of completing tasks independently, efficiently and effectively, Excellent written, and verbal communication skills Proficient documentation skills.
Skills : Proficient In Microsoft Office, Effective Communication Skills.
Description :
Reviewed claim files to evaluate recovery potential and open subrogation file on those with adequate potential.
Took appropriate steps for the development, pursuit, and recovery of claims.
Evaluated completeness and accuracy of documentary evidence as to amount of damage and liability.
Determined proper approach to secure recovery.
Recorded and processed all recovery payments.
Prepared and issued payments for subrogation expenses.
Included, but is not limited to payments to attorneys, outside investigative expenses, and police reports.
Experience
5-7 Years
Level
Executive
Education
Bachelor's In Business
Subrogation Specialist I Resume
Objective : High-energy Insurance Agent with 18 years experience in sales and service specializing in health and life products.
Provided excellent customer service in handling subrogation claims of moderate complexity.
Reviewed, analyzed and determined subrogation potential on all assigned files.
Negotiated liability, settlements and payment arrangements.
Developd resolution plans by determining filing solutions (arbitration, suit, and collection agency) to recover payments where subrogation potential has been identified on moderately complex subrogation claims.
Interacted with field staff and investigative agencies/vendors to obtain documentation to assist in the recovery.
Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
Demonstrated ability to manage relationships with both internal and external customers.
Experience
2-5 Years
Level
Executive
Education
High School Diploma In Education
Assistant Subrogation Specialist Resume
Summary : Experienced and dedicated professional with many years of experience in insurance claims processing, investigations and negotiations; seeking a position within an organization that will allow for the utilization of professional, personal and educational skills as well as provide long-term growth and opportunities for advancement.
Skills : Microsoft Office, Medical Records, Insurance, Graphic Design, Account Management, Reception, Sales, Sales Management, Technical Support.
Description :
Included processing payments collected by attorneys and collections agencies, posting them to the correct claims and causes of loss, and issuing our clients deductible refunds.
Became proficient in systems such as the Enterprise Claim System, Microsoft Outlook, Microsoft Access, and Microsoft Excel.
Experienced in payments taught me how crucial accuracy and timeliness are to subrogating money for our clients.
Responsible for compiling legal demands and sending them to the parties whom are responsible for losses to our insured.
Required investigation of damages claimed by our insured to make sure damages are not being exaggerated in order to receive more compensation than is actually owed.
Handled losses caused by defective products from major corporations as well as negligence of contractors.
Recovered monies paid for damages from parties, such as uninsured or underinsured motorists and other carriers.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Associate Subrogation Specialist I Resume
Objective : Offer experience in handling insurance subrogation claims built on a foundation of over 10 years in the collections industry. In return, looking for educational and professional growth opportunities that will enable to explore different career paths.
Skills : Proven Customer Service Ability. Well-versed In Insurance.
Description :
Acted as a third party administrator for multiple major insurance clients including State Farm, Farmers, and Geico Insurance.
Subrogated auto, personal injury and property claims.
Communicated directly with adjusters, attorneys and claimants.
Reviewed client's notes, police reports, estimates, total loss worksheets, valuation reports, etc.
Skiptraced for uninsured or under-insured claimants and contacted them directly to collect claim amount.
Managed a queue of approximately 700 accounts.
Reviewed incoming adverse subrogation claim files and negotiated with other insurance carriers.
Experience
2-5 Years
Level
Executive
Education
Associate In Commercial Art
Associate Subrogation Specialist I Resume
Objective : Claims Adjuster with extensive customer service experience seeking a position which will allow to utilize the skills learned during career thus far and continue to grow. Recently relocated to the area to be closer to family.
Utilized of the listed ICD-9 Codes determined whether or not the charges were related.
Promoted the option of pharmacy discounts and home delivery through contracted company, My Matrixx.
Submitted annual reports on MSA account activity to CMS.
Provided excellent customer service to the injured party regarding their MSA funds and how to manage their account following CMS requirements.
Assisted personal injury attorneys (plaintiff counsel) in the resolution of liens and reimbursement rights asserted against lawsuit recoveries involving Medicare beneficiaries.
Obtained signed authorization from injured party or their attorney (CMS Release, Proof of Representation, HIPAA Release or Authorization state specific for Medicaid and/or Part C Medicare Advantage Plans).
Initiated telephone calls to members, providers and other insurance companies to gather coordination of benefits data.
Experience
2-5 Years
Level
Executive
Education
Bachelor's In History
Sr. Subrogation Specialist Resume
Summary : A position that offers career stability, a challenging environment, and advancement opportunities. Solutions Group State Street, Bristol, Va.
Skills : Project Management, Accounts Payable.
Description :
Provided exceptional customer service to clients, auto, home, and commercial insurance companies, and attorneys regarding health insurance reimbursement matters.
Explained health insurance contract benefit information to members and third parties regarding reimbursement of medical claims.
Developed departmental procedures and standards for workers compensation work flow process to maximize recoveries.
Investigated and initiated action to recover claims payments and negotiate settlements for reimbursement.
Maintained computer database for monitoring, recording, and managing over 550 client accounts Proactively followed up on confirmation of reimbursement from worker's compensation carriers and auto insurance carriers to assure funds are received in a timely manner.
Demonstrated professionalism and sensitivity to maintain a high level of customer confidentiality.
Provided and interprets medical documents and lien documents for third party insurance companies and attorneys.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science
Jr. Subrogation Specialist Resume
Objective : Goal is to bring countless effort and abilities to the prospective employers business. Increasing revenues and decreasing unnecessary usage of resources by studying good and bad habits of the business. Become associated with a company where can utilize my skills and gain further skill/experience while enhancing the company's productivity and reputation. Possess the work ethic of the hardest working individual in the company.
Skills : Experienced In Microsoft Word, Excel Power Point, Access.
Description :
Processed claims by obtaining address/information from Third Party Carriers to issue subrogation demands.
Earned and obtained a 93% or better quality review while exceeding production goals on a monthly basis.
Followed up with Third Party Carriers to obtain liability and payment status on subrogation demands along with constructing counter offers on damage disputes.
Collected over $4.2 million during tenure with Allstate.
Led team in collections. Received team player award voted by coworkers with less than 1 full year on the job.
Worked in the medical records department, requesting and receiving, as well as drafting documents and client letters for attorneys.
Completed the jobs assigned to me in a correct and timely manner.
Requested health care provider refunds on claims paid by third party insurance companies duplicated by health insurance Service focused to respond professionally to customer service inquiries and determine the best solution to resolve complex inquires in a timely manner.
Experience
2-5 Years
Level
Executive
Education
Bachelor Of Science In Recreation
Subrogation Specialist Resume
Objective : Strong candidate with the ability to plan, organize, coordinate, and complete work according to priority and established deadlines. Excellent record of office administration, collections and customer service.
Skills : Microsoft Word, Microsoft Excel , Outlook.
Description :
Develops resolution plans to recover payments where subrogation potential has been identified.
Monitors claim throughout the subrogation process for final resolution by payment in full, negotiated settlements, or authority by management to close the file due to no potential for recovery.
Places liable parties and their carriers on notice by correspondence and phone contact.
Navigates through claims systems to process and resolve the subrogation portion of the claim and to order appropriate reports.
Assists internal and external customers with the resolution of moderate complexity questions.
Documents files to include: Conversations with all parties related to the claim, correspondences, current file updates, subrogation analysis, file resolution recommendations, statute of limitations and applicable state negligence laws.
Places manager on diary for files requiring authority, addresses diaries within 3 days, and sets timely and specific diaries on issues of subrogation for follow-up, skip tracing and correspondence.
Negotiates settlements with Uninsured Motorists and Carriers to over-turn denials or settlement offers.
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