Advanced Resources has immediate openings on a project to assist with malpractice medical claims. This position is fully remote and all equipment will be provided. The successful candidate will thrive in a fast-paced environment, enjoy research and hold a strong attention to detail. Experience with Medical Claims and Subrogation preferred.

Job Description

This is a contract opportunity for a 6 week assignment with potential extension

This position requires the Subrogation Specialist to process a paperless health insurance subrogation caseload by investigating potential cases and pursuing med-pay, no-fault, liability, and workers' compensation recoveries. Responsibilities include investigating new potentials cases, placing outbound calls as well as submitting correspondence to health plan members, insurance companies, and attorney offices.

KEY RESPONSIBILITIES & JOB FUNCTION:

• Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts


• Review, Identify and develop subrogation opportunities by gathering missing information and potential sources of recovery


• Place parties of interest on notice


• Organize and structure investigations to work in priority order using the tools provided


• Respond timely to all electronic, written and verbal communications


• Log and maintain detailed and accurate records


• Access and pull benefits from clients' health claim systems


• Pursue worker's compensation, third party liability, first party uninsured and underinsured recovery, worker's compensation, med-pay coverage and no-fault recoveries.


• Engage advice and/or help of legal manager to proactively resolve cases


• Ensure compliance of state and federal laws


• Adhere to settlement authority levels


• Maintain department productivity and quality standards


• Provide feedback to management and unit on trends or developments


• Sensitivity to privacy in accordance with HIPAA guidelines

Advanced Resourcesis a talent solutions organization headquartered in Chicago providing staffing, consulting, and workforce solutions nationwide. Our goal is to help people move their careers forward and help businesses solve their most complex challenges. Thanks to our commitment to providing an exceptional experience for both our clients and talent, we are a perennial winner of the prestigious Best of Staffing Diamond Award. By placing our team, clients, and talent first, every day we make a difference.

Advanced Resourcesis part of the Advanced Group, a talent acquisition and management, consulting, outsourcing, and professional services organization.


It is Advanced Group's practice not to discriminate against any employee or applicant because of sex, race, color, age, national origin, religion, gender identity or expression, sexual orientation or sexual preference, pregnancy or maternity, genetic information, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter so that we can discuss the appropriate alternatives available.

Required Skills

• Working knowledge of Microsoft Word, Excel, internet research skills


• Developed customer service skills


• Strong organizational and time management skills


• Ability to work independently and as part of a team


• High School or equivalent education level