A Career of Your Calling

The Impact You Will Have

A Third-Party Liability associate is responsible for reviewing accident-related claims and correspondence to make payment determinations on claims when another party may be liable. This position is also responsible for handling and responding to inbound member, attorney, or other insurance phone calls, providing one call resolutions when possible, and conducting outbound calls as a part of the investigation process to determine other parties’ liability to ensure the responsible party pays for claims as an effort to reduce health care costs.

Your Responsibilities

• This position is responsible for handling incoming and outbound calls from injured members, attorneys, other insurance companies and medical providers

• Conducts research and investigates claims or correspondence to determine other party liability and make claim payment determinations

• Performs within the acceptable range for productivity and telephone measures as required by the unit

• Verifies and coordinates coverage limits and benefits with other auto, homeowners, and workers compensation carriers.

• Assist with other special projects and tasks as directed by leadership based on business needs.

Required Skills and Experience

• 2+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered.

• Call center experience handling inbound and outbound calls

• Experience with computer proficiency

• Excellent time management skills

• Proficient with Microsoft Office

• Demonstrated verbal acuity and conflict resolution skills

• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Knowledge of medical terminology

• 1+ years of experience in healthcare or related industry

• Third-Party Liability and Subrogation experience highly desired

• Previous claims experience highly desired