Subrogation Recovery Specialist in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Subrogation Recovery Specialist based in United States.

This role focuses on investigating and recovering healthcare claim dollars when a third party is responsible for an accident, injury, or illness. You will manage a diverse caseload from initial review through recovery, combining healthcare claims expertise, legal research, negotiation, and detailed case management. The position requires frequent collaboration with attorneys, insurers, adjusters, medical providers, court personnel, clients, and beneficiaries. Your work will directly contribute to maximizing recoveries, reducing costs, and delivering value to healthcare clients. You will analyze information from multiple sources, identify liability, resolve disputes, and keep cases progressing against critical deadlines. The role also offers opportunities to support training, develop process resources, and contribute to team-level improvements.

As a Subrogation Recovery Specialist, you will manage cases throughout the recovery lifecycle, ensuring accurate documentation, timely follow-up, effective communication, and compliance with applicable healthcare and security requirements.

• Manage a varied caseload from case creation through final recovery, maintaining accurate and up-to-date notes and case records.
• Provide timely information and complete required case-management activities to keep cases progressing through established workflows.
• Verify beneficiary eligibility and review, validate, and update case documentation as needed.
• Investigate and confirm third-party liability, probate matters, and beneficiary assets relevant to recovery.
• Communicate professionally with attorneys, insurance adjusters, medical providers, court personnel, recipients, family members, and clients through phone calls and written correspondence.
• Prepare correspondence, liens, claims, and other documentation required to advance cases toward recovery.
• Negotiate and compromise claim and lien settlement amounts within applicable contractual guidelines.
• Process claim and lien disputes and collaborate with attorneys and other stakeholders to resolve complex issues.
• Conduct periodic follow-up regarding case status, settlement activity, and payments.
• Perform basic and advanced document review, legal research, and case analysis to determine status and support progression through the workflow.
• Prioritize critical case events, payment issues, recovery opportunities, and legal deadlines that may affect revenue outcomes.
• Compile and analyze information from multiple sources to determine case status, liability, and appropriate next steps.
• Meet established customer service and quality objectives while maintaining a high level of accuracy and professionalism.
• Prepare periodic reports and case updates for management as required.
• Maintain compliance with HIPAA, privacy, and government security requirements when handling and sharing protected health information.
• Serve as an escalation point for project teams when appropriate and support issue resolution.
• Contribute to training initiatives by developing application-specific training materials, templates, job aids, and documentation.
• Deliver targeted application training based on identified user needs and coordinate with product teams to keep training resources aligned with system updates.
• Participate in special projects and other duties that support operational objectives.

Requirements:

The ideal candidate brings healthcare, insurance, legal, or subrogation experience combined with strong investigative, analytical, communication, and organizational abilities. You should be comfortable managing multiple cases and deadlines while maintaining confidentiality, accuracy, and professionalism in interactions with internal and external stakeholders.

• High school diploma or GED required; bachelor's degree preferred.
• 3+ years of relevant professional experience.
• Experience in a legal office, including paralegal or legal assistant work, is a plus.
• Experience in the casualty or health insurance industry is beneficial.
• Working knowledge of the subrogation industry is required.
• Basic knowledge of medical billing and healthcare terminology.
• Ability to interpret healthcare and benefits documentation such as Explanation of Benefits (EOB), UB-04, Form 5500, Summary Plan Description (SPD), Master Plan Document (MPD), and Evidence of Coverage (EOC) is preferred.
• Knowledge of Medicaid and/or Medicare is preferred.
• Working knowledge of HIPAA privacy and security requirements.
• Strong investigative and analytical skills, with the ability to review evidence, claims, contracts, and case documentation to identify responsible parties and recovery opportunities.
• Strong problem-solving skills and sound judgment when analyzing complex cases and determining appropriate recovery strategies.
• Proficiency with Microsoft Excel and Word and general computer skills, including navigating multiple websites and systems.
• Strong verbal and written communication skills, with the ability to interact professionally with individuals at different organizational levels.
• Excellent attention to detail and a thorough approach to documentation, case review, and follow-up.
• Ability to organize information clearly and communicate it effectively to relevant stakeholders.
• Ability to work independently while also contributing effectively within a team environment.
• Strong presentation skills and the ability to deliver clear, high-quality presentations when required.
• Ability to manage pressure, multitask across a caseload, and meet deadline-driven project and legal requirements.
• High level of confidentiality, integrity, and professional ethics.
• Bilingual English/Spanish skills are a plus.
• Ability to perform the role's responsibilities with or without reasonable accommodation.

Benefits:

• Base compensation of $19.50–$21.50 per hour.
• Eligibility for discretionary bonus consideration.
• Nonexempt status with overtime eligibility for hours worked beyond 40 per week, or as required by applicable state law.
• Medical, dental, and vision insurance.
• Disability and life insurance coverage.
• 401(k) savings plan.
• Paid family leave.
• 9 paid holidays per year.
• 17–27 days of paid time off per year, depending on level and length of service.
• Fully remote work environment.
• Dedicated, secure home-work area with high-speed internet connectivity required.
• Opportunities to develop expertise across healthcare claims, insurance, legal research, subrogation, and recovery operations.
• Opportunities to contribute to training, process improvement, and special projects.