About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming health care. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

*This position is remote, however preference will be given to Minnesota residents*

How Is This Role Important to Our Work?

This position is responsible for Investigating and pursuing subrogation and workers compensation recoveries. Independently manage the subrogation and workers compensation cases, negotiate settlements within authority levels to maximize dollars recovered and achieve financial expectations of the customers in order to lower health care costs.

A Day in the Life:

• Manage subrogation and workers compensation cases which includes investigating accidents, identifying sources of recovery, asserting subrogation liens, identifying and monitoring injured partys accident-related diagnoses and paid claims totals, analysis of claim data and ongoing analysis of providers billing activity to determine when treatment ceases and negotiating recoveries within authority levels.
• Act independently to represent our subrogation and workers compensation interest.
• Respond to complex legal arguments in writing and by telephone with plaintiffs counsel, defense counsel, third party insurers, and all other parties of interest.
• Maintain working knowledge of basic ERISA and state subrogation and workers compensation laws.
• Conduct case and issue specific research to ensure cases are managed in accordance with laws and regulations.
• Review daily activity checklist (diary system) to monitor status of cases, update lien amounts, notify interested parties and determine priorities for case handling.
• Assist with training and mentoring Third Party Liability Associates as needed.
• Other tasks or projects as needed to support the team.

Required Skills and Experiences:

• 4+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• An understanding of subrogation or workers compensation principals, health insurance and/or PandC insurance.
• Excellent organizational skills and the ability to prioritize and work independently.
• Excellent verbal and written communication skills.
• Strong customer service and computer proficiency is a must.

Nice to Have:

• Bachelor's degree
• Legal research and negotiation skills preferred.

Compensation and Benefits:

Pay Range: $60,000.00 - $67,500.00 - $83,100.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

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, gender expression, or any other legally protected characteristic.

Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com.

All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.

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