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The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health insurance. The Subrogation Professional II work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.Ready for your next step UP? The Subrogation Professional II interacts with attorneys and third-party insurance professionals to explore where there may be liability and negotiate and coordinate claim payments. Ensure Coordination of Benefits (COB) records for members who have other insurance coverage are up-to-date. Respond to subrogation inquiries regarding third-party liability policies and procedures. Career-Development position within field. Conducts tasks and assignments as directed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Use your skills to make an impact
WORK STYLE: This role is remote/work at home (training is remote, as well)-- minimal travel (estimated to be 5%) might be required for on-site, trainings, conferences, etc
WORK HOURS: Monday-Friday, 8 hours/day, 5 days/week-- core business hours are 8AM-5PM in the associate's home time zone. Some flexibility might be possible, depending on business needs.
What you need for success! Required Qualifications
Significant subrogation experience in healthcare, property and casualty, or worker's compensation insurance
This role requires subrogation claims handling experience in healthcare, property and casualty, or worker's compensation insurance.
Strong Microsoft Office proficiency — ability to create forms, reports, and documents in Word, Excel, and/or Power BI
Strong written and verbal communication skills
Highly analytical and tech-savvy
Strong organizational abilities
Ability to manage multiple time sensitive tasks
Excellent ability to interact with associates at all levels of the organization
This is a remote position that will require travel of up to 5%
What you need to STAND OUT in the crowd! Preferred Qualifications
Undergraduate degree
Knowledge of Microsoft Access
Bilingual in English and Spanish - written and verbal
Additional Information
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
Work-At-Home Requirements
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$47,700 - $65,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
