Subrogation Claims Examiner

Job not on LinkedIn

🔥 3 hours ago

🦌 Connecticut, Nebraska, +2 more states – Remote

🦌 Connecticut – Remote 🌾 Nebraska – Remote 🌲 North Carolina – Remote 🔔 Pennsylvania – Remote

💵 $23 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Lincoln Financial

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1905

💸 Finance

👥 HR Tech

Finance • HR Tech • Insurance

Lincoln Financial is an organization dedicated to protecting the privacy and security of its job applicants. It actively informs candidates about potential recruitment scams and outlines its robust hiring procedures, making clear that they do not request sensitive personal information during the application process. The company offers a diverse range of career opportunities across various fields including actuarial, finance, legal, and customer service, and is committed to maintaining equal employment opportunities.

📋 Description

• Perform and deliver on routine and progressively more non-routine workers compensation and subrogation assignments independently in accordance with established procedures/guidelines. • Support workers compensation and subrogation liens being pursued by vendor. • Communicate with responsible parties, insured’s agents, vendors, and/or attorneys to obtain and/or provide a diverse range of needed information. • Evaluate subrogation potential and either triage to our internal team or submit claims to the appropriate vendor. • Support settlement negotiations for our vendor. • Escalate lien if settlements would reduce lien amount by more than 1/3. • Respond to requests, including but not limited to, pay histories, information updates, and other document requests from various parties. • Communicate with policy holders, vendors, attorneys, and agents on the status of pending subrogation matters, as required by statutes, regulations, and/or service standards. • Apply refund checks in claims systems and processes vendor expense payments within established authority. • Prepare for ASO checks to be sent employers with appropriate template letters. • Adhere to all applicable statutes and regulations as well as company protocols.

🎯 Requirements

• High School or GED • 3 - 5+ Years of claims/liability experience in group insurance OR for candidates with an Associates degree or above, 0-1 year claims/liability experience directly aligned to the specific responsibilities directly aligns with the specific responsibilities for this role • Ability to interpret and apply common sense understanding to carry out a variety of instructions furnished in written, oral, or diagram form. • Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

🏖️ Benefits

• PTO/parental leave • Competitive 401K and employee benefits • Free financial counseling • Health coaching and employee assistance program • Tuition assistance program