As a Subrogation Analyst, the professional will identify legal liability, and pursue, negotiate, and settle subrogation collection. A well-drafted Subrogation Analyst Resume mentions the following core duties – researching paid claims, answering inquiries, coordinating with other departments, insurance adjustors, attorneys, and members; identifying and researching of subrogation claims, assisting in the recovery of overpayments for duplicate coverage, worker’s compensation, and no-fault claims; and interacting with policyholders, claimants, witnesses, and underwriters; and collecting information needed to determine when an on-going investigation is necessary.
The nature of the job demands the following skills and abilities – strong knowledge of various personal lines products, property-related principles; practices, and processes, and terminology; strong communication skills, and a good understanding of personal umbrella products. A bachelor’s degree and equivalent experience are commonplace among job applicants.
Objective : Dedicated Subrogation Analyst with two years of experience in evaluating claims and negotiating settlements. Proven ability to analyze complex data and communicate effectively with clients and legal teams. Eager to leverage analytical skills and attention to detail to enhance recovery processes and drive results in a dynamic environment.
Skills : Negotiation, Claims Analysis, Client Communication, Data Analysis
Description :
Analyze claims to determine subrogation potential and recoverable amounts.
Settled 10 cases on a weekly average, recovering $2.2M in third-party liability settlements annually.
Acted as a liaison for Legal, In-house Counsel, and healthcare providers to resolve escalated issues.
Analyzed medical claims based on denial codes and diagnosis codes (ICD-9, ICD-10).
Served as the lead analyst for self-funded groups and stop loss coordination.
Investigate and gather evidence to support subrogation claims.
Represented the company at court hearings and mediations.
Experience
0-2 Years
Level
Entry Level
Education
BBA
Junior Subrogation Analyst Resume
Objective : Motivated Junior Subrogation Analyst with two years of proven experience in investigating and negotiating insurance claims. Adept at analyzing data to identify recovery opportunities and collaborating with legal teams to optimize outcomes. Committed to enhancing efficiency in subrogation processes while delivering exceptional service to clients.
Skills : Data Analysis Software, Claims Processing Systems, Insurance Knowledge, Risk Assessment, Communication Skills
Description :
Conducted comprehensive investigations of insurance claims to determine subrogation rights.
Interpreted relevant case law to ensure compliance with state regulations governing subrogation.
Negotiated settlements with insurance carriers to recover funds for benefits paid.
Reviewed claims to assess potential recovery and open files for viable cases.
Developed strategies for pursuing claims in a timely manner.
Evaluated evidence to establish liability and damage amounts.
Maintained accurate documentation of all subrogation activities and outcomes.
Experience
0-2 Years
Level
Junior
Education
B.S. in BA
Subrogation Analyst Resume
Headline : Versatile Subrogation Analyst with 7 years of experience in assessing claims and negotiating recoveries. Expert in data analysis and legal documentation, efficiently driving subrogation processes. Committed to maximizing recovery outcomes while maintaining strong relationships with stakeholders and ensuring compliance with industry regulations.
Investigated, evaluated, and settled claims, utilizing in-depth analysis and effective communication to ensure timely resolutions.
Established operational standards to manage complex claims, enhancing service quality and reducing loss ratios.
Verified and analyzed data to confirm claim validity and compliance with company policies.
Collaborated with legal counsel on litigation cases to protect company interests.
Engaged with claimants and medical professionals to gather necessary information for accurate claim assessments.
Maintained organized claim files, tracking progress and outcomes for ongoing analysis.
Presented case findings at claim committee meetings, contributing to informed decision-making.
Experience
5-7 Years
Level
Senior
Education
B.S.B.A.
Subrogation Claims Analyst Resume
Summary : Accomplished Subrogation Claims Analyst with a decade of experience in investigating and resolving complex claims. Expertise in data analysis and strategic negotiations to maximize recovery outcomes. Proven ability to collaborate with legal teams and clients, ensuring compliance and enhancing recovery processes. Driven to deliver exceptional results while fostering strong professional relationships.
Maintain accurate records of subrogation activities and outcomes.
Assessed investigation adequacy and damage measures to initiate collection processes.
Advised clients on pursuing arbitration, collection, or litigation based on thorough analysis.
Negotiated liability decisions and authorized settlements within established authority limits with adjusters and legal teams.
Maintained clear communication with clients regarding the subrogation process and updates.
Served as liaison between clients and attorneys for medical payments and PIP claims, ensuring clarity and efficiency.
Documented and tracked all communications in various databases, ensuring accurate records and follow-ups.
Experience
7-10 Years
Level
Management
Education
B.S.B.A.
Subrogation Analyst Resume
Summary : Results-oriented Subrogation Analyst with a decade of experience in evaluating claims and optimizing recovery strategies. Skilled in data analysis, legal documentation, and negotiation, consistently achieving high recovery rates. Committed to enhancing processes and fostering collaborative relationships with clients and legal teams to drive effective outcomes.
Skills : Advanced Data Entry Skills, Comprehensive Legal Research, Expertise In Medical Terminology, Thorough Trial Preparation Skills, Proficient In Witness Interviewing, Effective Communication Skills
Description :
Identified and evaluated potential subrogation cases, analyzing historical data and case elements impacting payments.
Negotiated settlements with providers and clients to minimize litigation costs and maximize recovery.
Conducted jurisdiction-specific legal research to support case evaluations.
Managed Minnesota workers' compensation interventions for major health plans.
Participated in hearings and mediation sessions to advocate for client interests.
Consistently exceeded departmental recovery goals through analytical strategies and effective communication.
Acknowledged for exemplary performance in subrogation recovery efforts.
Experience
10+ Years
Level
Executive
Education
B.S. in BA
Claims Subrogation Specialist Resume
Objective : Results-driven Claims Subrogation Specialist with 5 years of experience in recovering funds through effective negotiation and data analysis. Skilled in interpreting complex legal documents and collaborating with stakeholders to ensure compliance and maximize recovery outcomes. Passionate about utilizing analytical expertise to streamline subrogation processes and enhance client satisfaction.
Evaluate the effectiveness of subrogation programs and initiatives.
Conduct audits of subrogation files for accuracy and completeness.
Kept detailed records of recovery efforts and outcomes.
Participate in cross-functional teams to improve claims handling.
Analyzed plan documents and billing procedures to evaluate recovery rights.
Developed a comprehensive understanding of ICD-9 coding for accurate claims processing.
Studied subrogation laws across all states to ensure compliance and maximize recovery.
Experience
2-5 Years
Level
Consultant
Education
B.S. in BA
Subrogation Analyst Resume
Objective : Analytical Subrogation Analyst with two years of hands-on experience in claims evaluation and recovery negotiation. Skilled in interpreting complex data and legal frameworks to identify subrogation opportunities. Committed to enhancing recovery processes and fostering effective communication with clients and legal professionals to achieve optimal results.
Skills : Bilingual In Spanish And English, Financial Analysis, Report Writing, Time Management, Legal Research, Team Collaboration
Description :
Delivered comprehensive subrogation services for healthcare organizations, including Aetna and Exxon.
Applied extensive knowledge of subrogation laws across all states, alongside ERISA regulations.
Conducted outbound calls to patients, attorneys, and insurance companies to clarify accident details and assess recovery potential.
Initiated subrogation processes by drafting formal correspondence to liable parties and their insurers.
Earned commendations from supervisors for accurately handling a high volume of cases.
Collaborated with legal teams to enhance recovery strategies and compliance adherence.
Experience
0-2 Years
Level
Fresher
Education
B.S. in BA
Senior Subrogation Analyst Resume
Headline : Proficient Senior Subrogation Analyst with 7 years of experience in claim evaluation and recovery negotiation. Skilled in leveraging analytical insights to enhance subrogation processes and maximize recovery rates. Adept at collaborating with legal teams and clients to ensure compliance and drive efficient outcomes.
Conducted thorough investigations on subrogation files, identifying all potential sources of recovery and notifying relevant parties promptly.
Managed claims from initiation to settlement, ensuring timely follow-ups and resolution.
Negotiated settlements that prioritized client interests, achieving optimal recovery outcomes.
Executed all settlement procedures and conducted follow-ups to confirm recovery on each claim.
Handled a diverse portfolio of liability claims, including property, workers' compensation, and medical malpractice.
Prepared comprehensive case files for attorneys, ensuring all necessary documentation was accurate and complete.
Maintained meticulous records of recovery efforts and outcomes, providing insights for process improvement.
Experience
5-7 Years
Level
Senior
Education
B.S. in Business Admin.
Subrogation Analyst Resume
Summary : Dynamic Subrogation Analyst with 10 years of extensive experience in recovering funds through strategic negotiations and thorough claims evaluation. Proven expertise in data analysis, compliance, and enhancing recovery processes. Committed to delivering exceptional results by fostering strong relationships with clients and legal teams while optimizing operational efficiencies.
Managed a diverse range of claims, including workers compensation, auto accidents, and product liability.
Collaborated closely with healthcare providers to facilitate timely recoveries.
Implemented payment plans and efficiently recorded recoveries to improve financial tracking.
Oversaw a team of Subrogation Analysts, ensuring adherence to operational standards and contractual obligations.
Generated detailed reports for the data processing department to support decision-making.
Reviewed and analyzed attorney-represented files to determine optimal recovery strategies.
Developed methodologies to enhance recovery approaches, leading to increased efficiency.
Experience
7-10 Years
Level
Management
Education
BBA
Subrogation Analyst Resume
Objective : Driven Subrogation Analyst with two years of experience in analyzing claims and negotiating recoveries. Skilled in leveraging data insights and collaborating with legal teams to enhance recovery processes. Passionate about optimizing operational efficiency and achieving favorable outcomes for clients while ensuring compliance with industry standards.
Skills : Organizational Skills, Data Protection, Adaptability, Industry Knowledge, Ethical Judgment
Description :
Recorded and processed recovery payments, ensuring accuracy and compliance with regulations.
Conducted subrogation for major health insurance companies, maximizing recovery potential.
Utilized MS Excel and analytics tools to prepare detailed claim history reports.
Interpreted plan policies to ensure proper application in claims processing.
Investigated and resolved third-party liability medical claims, saving clients significant amounts.
Collaborated with claims processors to address subrogation issues effectively.
Created informative PowerPoint presentations to educate stakeholders on subrogation processes.
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