Job Description

Subrogation Specialist

Responsibilities include investigating new potential cases, placing outbound calls as well as submitting correspondence to health plan members, insurance companies, and attorney offices. The Subrogation Specialist coordinates efforts with other members of the subrogation team to maximize recovery in accordance with EXL's Subrogation Policies and Procedures.

Complying with HIPAA regulations as well as EXL's HIPAA and Information Security policies and procedures, including required training and incident reporting.

Responsibilities

• Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts.
• Review, identify and develop subrogation opportunities by gathering missing information and potential sources of recovery.
• Place parties of interest on notice
• Organize and structure investigations to work in priority order using the tools provided.
• Respond timely to all electronic, written, and verbal communications.
• Log and maintain detailed and accurate records.
• Access and pull benefits from clients' health claim systems.
• Pursue worker's compensation, third party liability, first party uninsured and underinsured recovery, worker's compensation, med-pay coverage, and no-fault recoveries.
• Engage advice and/or help of legal manager to proactively resolve cases.
• Ensure compliance of state and federal laws
• Adhere to settlement authority levels.
• Maintain department productivity and quality standards.
• Sensitivity to privacy in accordance with HIPAA guidelines

Qualifications

Required Skills

• Working knowledge of Microsoft Word, Excel, internet research skills
• High School or equivalent education level

Preferred Requirements

• 1+ years of subrogation experience
• 1+ years of claims experience.
• 1+ years of heavy call volume support experience

Professional Skills

• Developed customer service skills.
• Strong organizational and time management skills
• Ability to work independently and as part of a team.

Compensation - $16.00 - $19.00 hourly (DOQ)

About Us

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit

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