Subrogation Professional

Become a part of our caring community The Subrogation Professional 2 investigates accident, injury, and claim events to determine whether Humana may have the right to recover claim payments from another responsible party. This role gathers information from members, providers, insurance adjusters, attorneys, and other parties; reviews claim payments; creates liens; and negotiates repayment when appropriate. You will report to a Supervisor. Review new accident, injury, or claim events to determine whether subrogation or other party liability may apply Contact members, providers, insurance adjusters, attorneys, and other involved parties by phone or email to gather claim details Investigate the facts of the accident or claim, including: What happened Date and location of the accident or claim Who was at fault All parties involved Insurance coverage information Attorney or legal representation information Settlement status, when applicable Use available resources to support the investigation, such as police reports, state websites, claim systems, provider information, and other approved resources Identify and document responsible parties and provide appropriate notice of Humana ’s potential recovery interest Review claim payment information to determine amounts paid by Humana related to the accident or claim Create, update, and maintain liens based on eligible paid claims Communicate lien information to attorneys, adjusters, and other appropriate parties Negotiate lien repayment