Claims Recovery Representative - Workers Compensation Subrogation

Job Summary

Seeking a dedicated and detail-oriented Claims Recovery Representative specializing in Workers Compensation Subrogation. This is a fully remote, permanent position offering an excellent opportunity to join a financially strong and reputable organization. The successful candidate will be responsible for managing a portfolio of subrogation claims, conducting investigations, and negotiating recoveries. This role requires a proactive individual with strong analytical, communication, and organizational skills.

Compensation Package

• Salary Range: $80,000 - $95,000 per year (final compensation based on qualifications, location, and other considerations).
• Benefits Include:
  • Comprehensive medical, vision, disability, and life insurance.
  • Enhanced dental plan with orthodontia coverage.
  • Generous PTO plan and paid company holidays (including 4 floating holidays).
  • Paid parental leave.
  • Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
  • Wellness initiatives, including fitness center and Weight Watchers reimbursement programs.
  • Voluntary benefits such as accident, critical illness, and hospital indemnity coverage.
  • Employee discount and rewards program for travel, tickets, electronics, and more.

Responsibilities

As a Claims Recovery Representative, your key responsibilities will include:

• Managing a caseload of lower to moderate complexity subrogation claims, ensuring quality service and timely resolutions.
• Conducting detailed investigations to identify liable third parties, gathering evidence, and coordinating site inspections.
• Issuing demands, filing liens, and negotiating recoveries with responsible parties and their insurers.
• Maintaining accurate and up-to-date claim files, including tracking statute of limitations and referring delinquent accounts to collection agencies.
• Reviewing open and closed workers compensation claims to evaluate subrogation potential.
• Assisting adjusters in identifying claims with subrogation opportunities and providing training as needed.
• Preparing claims for arbitration and adhering to arbitration guidelines and deadlines.
• Staying current with changes in insurance contracts, statutory and common law, and state statutes.

Qualifications/Requirements

To be successful in this role, candidates must meet the following qualifications:

• Education: Bachelor’s Degree from an accredited four-year college or university.
• Experience:
  • Minimum of 2 years of experience as a workers compensation recovery professional.
  • Additional experience as a workers compensation adjuster is a plus.
• Licensing: Adjuster license and confirmation of home state license.
• Skills:
  • Strong knowledge of insurance contracts, statutory and common law, and state statutes.
  • Excellent critical thinking and problem-solving skills.
  • Strong written and verbal communication skills.
  • Effective time management and organizational abilities in a remote work environment.
  • Proficiency in Microsoft Office programs, particularly Excel, and claims software systems.
  • Strong interpersonal and negotiation skills, especially in challenging situations.
  • Mathematical proficiency to analyze data and perform calculations.

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