Share this Job

Subrogation Lead Job

Date: Jan 30, 2019

Location: Eagan, Minnesota, US, 55122

Company: Blue Cross and Blue Shield of Minnesota

About Blue Cross



At Blue Cross and Blue Shield of Minnesota, we are developing industry-leading strategies every day that make a healthy difference in people’s lives. Blue Cross has a legacy of improving health through innovation because we believe that everyone should have the opportunity to live the healthiest life possible. Chartered in 1933 as the state’s first health plan, we’ve been serving the health care needs of Minnesotans for more than 80 years.



Blue Cross supports you with competitive pay and a comprehensive benefits package. Many Employee Resource Groups are active in the company, promoting inclusion and helping us meet the diverse needs of our workforce and our members. Join us, and enjoy a work environment where all employees are respected and valued — a workplace honored with a perfect score on the Human Rights Campaign Corporate Equality Index for 2017. Find your place at a company that cares.



 


Description Summary

The subrogation lead position is responsible for coordinating subrogation recovery activity under the direction of the Special Service Unit Manager. This position requires a large degree of internal communication across the claims payment integrity organization and communications/negotiations with external parties. The subrogation lead will drive subrogation recovery metrics by negotiating high dollar cases and providing direct oversight of the subrogation team recovery percentages. The subrogation lead will ensure recovery activity is conducted in accordance with state/federal statutes and contractual language. This position will provide training, subrogation litigation support and appear in court on behalf of BCBSMN as necessary.


Accountabilities


  1. Directs the subrogation team's settlement activity and approves individual case settlements. Accountable for team recovery percentages.

  2. Plans, develops and implements recovery metrics for the subrogation team in conjunction with the Special Service Unit Manager.

  3. Resolves issues related to the recovery of subrogation dollars and leads high dollar and complex case negotiations.

  4. Reviews complex legal arguments and conducts legal research.

  5. Provides subrogation litigation support for internal counsel and tracks litigation matters through resolution.

  6. Provides mentoring, training and assistance on subrogation processes and case negotiations as needed within the department.

  7. Works collaboratively with leadership and internal counsel in the review and evaluation of subrogation activity conducted by department staff.


Requirements


  • Bachelors degree and 5 years experience with third party recovery in healthcare or related field or 9 years of related experience in lieu of degree.

  • Well-developed negotiation skills.

  • Strong proficiency in legal research and interpreting statutory/case law.

  • Strong interpersonal and communication skills.


Preferred Requirements

FLSA Status

Exempt

Blue Cross Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



Make a difference



Thank you for your interest in Blue Cross. Be part of a company that lets you be you — and make a healthy difference in people’s lives every day



Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association


Nearest Major Market: Minneapolis

Job Segment: Law, Claims, Legal, Insurance, Research