Subrogation Specialist

Job Summary:

The Subrogation Specialist is responsible for investigating, managing, and resolving subrogation claims on behalf of our self-funded clients. This position involves detailed analysis, negotiation with parties involved, and communication with legal and claims teams to pursue the recovery of financial losses.

Key Responsibilities:

• Claim Investigation:
  • Review third party liability letters, police reports, etc. to determine if subrogation is applicable.
  • Investigate the circumstances of the loss, identify potential third parties, and gather evidence to support the subrogation claim.
  • Review policy terms, conditions, and exclusions to assess liability and recovery options.
• Communication & Negotiation:
  • Liaise with claimants, legal teams, third parties, and vendor partners.
  • Negotiate settlements and monitor recovery efforts until the claim is resolved.
• Documentation & Reporting:
  • Maintain accurate and detailed records of all subrogation efforts, including communications, negotiations, and settlement agreements.
  • Prepare and submit detailed reports on claim status and recovery efforts to management.
  • Maintain and update stoploss working documents, as well as policies and procedures.
• Compliance & Legal Coordination:
  • Ensure all subrogation activities comply with legal and regulatory requirements.
  • Work closely with internal legal teams to pursue litigation if necessary, including providing case details and assisting with legal proceedings.
• Collaboration:
  • Work with vendor partners and internal teams to ensure effective coordination of subrogation efforts.
  • Identify trends in subrogation claims and provide recommendations for process improvements.

Required Skills & Qualifications:

• Education:
  • A high school diploma or equivalent is required. A bachelor's degree in business, insurance, or a related field is preferred.
• Experience:
  • Minimum of 2-3 years of experience in insurance claims, subrogation, or a related field.
  • Experience with subrogation claims handling, legal processes, and recovery strategies is highly preferred.
• Skills:
  • Strong analytical and investigative skills.
  • Excellent written and verbal communication skills.
  • Third Party Liability & Workers Compensation knowledge helpful.
  • Attention to detail and ability to manage multiple cases simultaneously.
  • Knowledge of insurance policies, subrogation laws, and industry regulations.
• Technical Proficiency:
  • Proficiency in using claims management software and Microsoft Office Suite (Excel, Word, etc.).

Preferred Qualifications:

• Certifications:
  • Certification as a Subrogation Specialist (e.g., Certified Subrogation Recovery Specialist, CSRS) is a plus.
• Experience:
  • Prior experience working in a legal or insurance setting, particularly with subrogation recovery efforts