Subrogation Specialist

HealthPartners • Bloomington, MN • 1h ago

Job Duties HealthPartners is hiring a Subrogation Specialist. The Subrogation Specialist represents HealthPartners' interests in subrogation recovery activities as a member of the Payment Integrity Team. This position independently manages routine and complex subrogation cases to successful resolution by evaluating liability, causation, contractual rights, and applicable statutory and case law. Through effective negotiation, advocacy, and legal analysis, the Subrogation Specialist pursues maximum recovery on behalf of HealthPartners while ensuring accurate documentation, compliance, and appropriate escalation of legal matters.

MINIMUM QUALIFICATIONS

Education, Experience or Equivalent Combination

Bachelor's degree in Business, Paralegal, Insurance, or a Healthrelated field or seven (7) years of related experience

Five (5) or more years of insurance litigation or subrogation program experience

Demonstrates an understanding of tort theories and subrogation principles

Ability to review and interpret medical reports, contractual language, statutory law, and case law

Licensure / Registration / Certification

None required

Knowledge, Skills, and Abilities

Excellent oral and written communication skills

Proven negotiation skills

Analytical with a strong attention to detail and accuracy

Ability to make independent decisions and manage adverse parties

Demonstrated planning, organizational, and time management skills

Reliable and regular attendance

Reliable transportation for limited local travel

PREFERRED QUALIFICATIONS

Education, Experience or Equivalent Combination

Bachelor's degree in Business, Insurance, or Healthrelated field

Licensure / Registration / Certification

Paralegal certification

ESSENTIAL DUTIES

(45%) - Case Management & Legal Analysis

Obtain information from a variety of sources necessary to pursue subrogation claims to a successful conclusion.

Monitor assigned files timely and determine appropriate next actions.

Review medical claims and subrogation files and generate pleadings and correspondence to courts, insurers, and opposing parties.

Interpret member contractual terms, statutory law, and case law to determine HealthPartners' subrogation rights.

Record all relevant case information in the Subrogation Case Management System.

Maintain organized, accurate, and complete case files.

Identify matters requiring Subrogation Supervisor or outside counsel involvement.

(30%) - Settlement Authority

Exercise discretion and independent judgment to evaluate and settle HealthPartners' subrogation claims against responsible parties.

Analyze liability, causation, contractual rights, and current case law when determining settlement strategy and outcomes.

Respond to settlement demands and legal positions consistent with HealthPartners' interests and applicable law.

(15%) - External Communication & Representation

Draft accurate, professional, and persuasive written correspondence to attorneys, insurers, courts, and other parties.

Attend settlement conferences, pretrials, hearings, and mediations as a representative of HealthPartners.

Present evidence to opposing parties and administrative law judges to support HealthPartners' claims.

Act as an advocate for HealthPartners regarding the legal and substantive posture of assigned cases.

(10%) - Internal Coordination

Coordinate with HealthPartners' Claims Departments to identify potential subrogation cases.

Gather factual and claims information necessary to assert specific subrogation rights.

Maintain and monitor accurate internal data related to assigned claims.

Provide subrogation guidance and training to the Payment Integrity Team

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Minimum Education Required Bachelor Degree

Minimum Experience Required 7 years

Shift First (Day)

Number of Openings 1

Public Transportation Accessible Yes

Veterans Encouraged to Apply No

Physical Required Yes

Drug Test Required Yes

Compensation $11.41 / Hourly

Postal Code 55420

Job Type Full Time

Place of Work

On-site

Requisition ID

122167

Job Benefits

Not specified

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