At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.
In this position, you will be responsible for investigating and pursuing subrogation and workers compensation recoveries. You will independently manage the subrogation and workers compensation cases, negotiate settlements within authority levels to maximize dollars recovered and achieve financial expectations of the customers in order to lower health care costs.
Manage subrogation and workers compensation cases which includes investigating accidents, identifying sources of recovery, asserting subrogation liens, identifying and monitoring injured partys accident-related diagnoses and paid claims totals, analysis of claim data and ongoing analysis of providers billing activity to determine when treatment ceases and negotiating recoveries within authority levels.
Act independently to represent our subrogation and workers compensation interest.
Respond to complex legal arguments in writing and by telephone with plaintiffs counsel, defense counsel, third party insurers, and all other parties of interest.
Maintain working knowledge of basic ERISA and state subrogation and workers compensation laws.
Conduct case and issue specific research to ensure cases are managed in accordance with laws and regulations.
Review daily activity checklist (diary system) to monitor status of cases, update lien amounts, notify interested parties and determine priorities for case handling.
Assist with training and mentoring Third Party Liability Associates as needed.
Other tasks or projects as needed to support the team.
Required Skills and Experience
4+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
An understanding of subrogation or workers compensation principals, health insurance and/or PandC insurance.
Excellent organizational skills and the ability to prioritize and work independently.
Excellent verbal and written communication skills.
Strong customer service and computer proficiency is a must.
High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
Bachelor's degree
Legal research and negotiation skills preferred.
Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.
Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
To discover more about what we have to offer, please review our benefits page.
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.