Call Center Investigation Specialist

Role Overview

This position will take a high volume of inbound calls to process a paperless health insurance subrogation caseload by investigating potential cases and pursuing med-pay, no-fault, liability, and workers' compensation recoveries. The work environment is team-orientated, and the incumbent will coordinate efforts with other members of the subrogation team to maximize recoveries.

What You Will Do

Follow client specific procedures and guidelines, adapt to process changes, identify and develop subrogation opportunities, research and request case information, place parties of interest on notice, and pursue worker's compensation, first and third party, med-pay coverage and no-fault recoveries.

Why It Might Be a Fit

The successful individual in this role must be open to feedback, teamwork, and show a keen interest in contributing ideas to improve existing departmental processes. The position requires strong organizational and time management skills, ability to work independently and as part of a team, and working knowledge of Microsoft Word, Excel, and internet research skills.

Requirements

• Minimum high school diploma and one (1) year experience in an analytic or claims environment
• Bachelors' degree in a relevant field is strongly preferred
• Required licensures, professional certifications, and/or Board certifications as applicable
• Developed customer service skills
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Working knowledge of Microsoft Word, Excel, internet research skills

Benefits

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off – accrued based on years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year

Originally posted on Himalayas