[Hiring] Virtual Subrogation Specialist @Afni

Role Description

The Subrogation Specialist is responsible for recovering subrogation claims from insurance carriers, self-insured entities, and uninsured parties. This role reviews and investigates claims, evaluates liability and damages, identifies recovery opportunities, and negotiates disputes to maximize recovery. The Subrogation Specialist works closely with clients, insured parties, adjusters, claimants, attorneys, underwriters, and other stakeholders while maintaining accurate documentation and complying with applicable state regulations and industry practices.

*This is a virtual opportunity.*

Essential Functions and Responsibilities:

• Review and manage subrogation files across multiple lines of business.
• Investigate claims to evaluate liability, assess damages, and identify all viable recovery opportunities.
• Respond professionally and promptly to telephone calls and emails from clients, adjusters, claimants, witnesses, attorneys, underwriters, and other involved parties.
• Prepare and analyze claim files, ensuring all verbal and written correspondence is documented accurately in applicable systems.
• Process carrier-to-carrier subrogation claims.
• Research applicable laws and state statutes to support compliant and effective recovery efforts.
• Communicate with relevant parties to obtain and provide the information needed to move claims toward resolution.
• Negotiate liability and damage disputes with insurance carriers, self-insured entities, and other responsible parties.
• Evaluate collection potential and develop an appropriate recovery strategy for each claim.
• Manage multiple files and priorities while meeting quality, productivity, and documentation expectations.

Qualifications

• High school diploma or GED; some college coursework preferred.
• Three to five years of subrogation or claims experience preferred.
• Med Pay experience preferred.
• Adjuster license preferred.
• For bilingual openings, professional proficiency in English and Spanish is required.
• Proficiency with Microsoft Office and applicable claims systems.
• Strong verbal and written communication skills.
• Demonstrated ability to analyze claim information, negotiate effectively, and manage multiple priorities with close attention to detail.
• Strong reasoning, problem-solving, and decision-making skills.

Benefits

• Competitive pay and performance-based incentives.
• Comprehensive medical, dental, vision, life, and disability benefits.
• 401(k) with company match.
• Paid time off and holiday benefits.
• Training, coaching, and career development opportunities.
• Internal advancement and growth opportunities.
• A supportive, inclusive, and collaborative culture.
• The chance to make a meaningful impact for our clients, customers, and communities.