Subrogation Specialist jobs in Richmond, VA

Subrogation Specialist is responsible for subrogation activities including the identification and research of subrogation claims. Assists in the recovery of overpayments for duplicate coverage, workers' compensation, and no-fault claims. Being a Subrogation Specialist identifies legal liability and pursues, negotiates, and settles subrogation collection. Researches paid claims, answers inquiries, and coordinates with other departments, insurance adjustors, attorneys, and members. Additionally, Subrogation Specialist interacts with policyholders, claimants, witnesses, and underwriters to recommend and document the necessary information to close a file. Collects information needed to determine when an on-site investigation is necessary. Requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Subrogation Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Subrogation Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Specialist
  • Elevance Health
  • Richmond, VA FULL_TIME
  • Job Description

    eCOB Specialist I

    Location : Hybrid, within 50 miles of an Elevance Health pulse point.

    Hours : Monday - Friday, an 8 hour shift between the hours of 6 am - 6 pm EST

    The eCOB Specialist I is responsible for researching and investigating other coverage for all of the company's groups and members.

    Performs multi complex functions and interprets complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim, membership and accounting.

    How you will make an impact :

    • Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage.
    • Aides members in enrolling in Medicare when they are entitled.
    • Updates all of the company's membership system components with investigation results for claim coordination.
    • Ensures correct forms are provided to assist members enrolling in Medicare.
    • Reviews claim history to reconcile processed, pended or recovered in any error.
    • Associate must identify the correct formulas in order to adjudicates impacted claims, using multiple COB Formulas for the various product types, pursuant to State and Federal Guidelines.

    Minimum Requirements :

    Requires a HS diploma or equivalent and a minimum of 1 year of claims processing and / or customer service and a minimum of 1 year coordination of benefits experience;

    or any combination of education and experience which would provide an equivalent background.

    Preferred Skills, Capabilities, and Experiences :

    • Knowledge of NAIC & CMS COB guidelines strongly preferred.
    • Excellent oral and written communication skills, PC skills, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

    Locations : California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

    The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.

    The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.

    This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

    Even within the range, the actual compensation will vary depending on the above factors as well as market / business considerations.

    No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

    The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    Job Level :

    Non-Management Non-Exempt

    Workshift :

    1st Shift (United States of America)

    Job Family : CLM >

    CLM >

    Claims Support

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

    Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

    Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

    Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19.

    If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

    Applicants who require accommodation to participate in the job application process may contact for assistance.

    Last updated : 2024-03-26

  • Just Posted

D
Specialist
  • DEPCOM Power
  • Aylett, VA FULL_TIME
  • Your Job DEPCOM Power, a Koch Engineered Solutions company, is looking for an Environmental Specialist to join the HSSE team supporting construction of 10-200M utility scale solar projects. This role ...
  • 3 Days Ago

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Specialist
  • The Kroger Co.
  • Allen, VA FULL_TIME
  • Execute the Natural Foods strategy throughout the division. Collaborate with General Office (G.O.)Merchandising to identify new and innovative items emerging in the marketplace. Work collaboratively w...
  • 6 Days Ago

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Training Specialist
  • CorTech
  • Richmond, VA FULL_TIME
  • Job Title: Training Specialist schedule – Friday, 8a – 5p Overtime required Quick description of the role or project story (What this role will be doing): Our team is dedicated to the development of o...
  • 19 Days Ago

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Benefits Specialist
  • TriMech Solutions, LLC
  • Allen, VA FULL_TIME
  • DUTIES AND RESPONSIBILITIES Coordinate daily benefits processing for our full-time employees and contractors for our Staff Augmentation division including: Benefits enrollments for U.S-based employees...
  • 19 Days Ago

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Clinical Specialist
  • ConsignMed Career Center
  • Richmond, VA FULL_TIME
  • RESPONSIBILITIES Provide case coverage support to Physicians, Hospital Staff, and other Healthcare Personnel to ensure proper and optimal use of the Uterine Ablation System. Able to cover cases in loc...
  • 19 Days Ago

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0 Subrogation Specialist jobs found in Richmond, VA area

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PCU Registered Nurse
  • TotalMed
  • Richmond, VA
  • We are seeking a Registered Nurse-Step Down Unit for a travel assignment in Richmond Virginia.
  • 3/29/2024 12:00:00 AM

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Customer Service Representative
  • FastSigns
  • Richmond, VA
  • Do your friends and co-workers refer to you as a people person? Do you enjoy working with people? Do you enjoy helping p...
  • 3/29/2024 12:00:00 AM

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Technical Support Analyst (Onsite)
  • TM Floyd and Company
  • Richmond, VA
  • We're currently hiring a Technical Support Analyst located in Richmond, VA. The candidate must be able to work onsite th...
  • 3/29/2024 12:00:00 AM

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Banquet Server
  • White Lodging
  • Richmond, VA
  • Summary: White Lodging develops and operates a portfolio of award-winning, premium-brand hotels, rooftop bars and restau...
  • 3/29/2024 12:00:00 AM

I
Project Manager PMP or VITA PM cert
  • Integrated Resources, Inc
  • Richmond, VA
  • Position: Project Manager Location: Richmond , VA (Hybrid) Duration: 4 Months+ (likely by 6-12+ months) Local Richmond, ...
  • 3/29/2024 12:00:00 AM

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Account Growth Sales Manager
  • InsuraTec Services Group
  • Richmond, VA
  • Account Growth Sales Manager Location: Remote (Virtual, Work From Home) Working Hours: Flexible (Full-Time Only) Job Des...
  • 3/29/2024 12:00:00 AM

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Future Horizons - Senior Scientist - Wellness
  • Haleon
  • Richmond, VA
  • Hello. We’re Haleon. A new world-leading consumer health company. Shaped by all who join us. Together, we’re improving e...
  • 3/29/2024 12:00:00 AM

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Future Horizons - Principal Scientist - Wellness
  • Haleon
  • Richmond, VA
  • Hello. We’re Haleon. A new world-leading consumer health company. Shaped by all who join us. Together, we’re improving e...
  • 3/29/2024 12:00:00 AM

Richmond (/ˈrɪtʃmənd/) is the capital of the Commonwealth of Virginia in the United States. It is the center of the Richmond Metropolitan Statistical Area (MSA) and the Greater Richmond Region. Richmond was incorporated in 1742 and has been an independent city since 1871. As of the 2010 census, the city's population was 204,214; in 2016, the population was estimated to be 223,170, making Richmond the fourth-most populous city in Virginia. The Richmond Metropolitan Area has a population of 1,260,029, the third-most populous metro in the state. Richmond is located at the fall line of the James R...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Subrogation Specialist jobs
$42,132 to $52,206
Richmond, Virginia area prices
were up 1.2% from a year ago

Subrogation Specialist in Frankfort, KY
You will then seek subrogation against contractor and his insurer to get them to pay for the damages paid out.
December 27, 2019
Subrogation Specialist in Port Arthur, TX
Enroll in the certified subrogation recovery professional program offered by the National Association of Subrogation Professionals.
December 02, 2019
Afni is hiring Subrogation Specialists that are primarily responsible for assisting in the recovery of subrogation claims typically from insurance carriers and self-insured entities.
February 07, 2020
Subrogation Specialist in San Jose, CA
Train in areas of handling subrogation payments, arbitration, and the disposition of salvage.
January 24, 2020