Subrogation Specialist Neltner Business Services

5.0 - 10.0 years

6 - 10 Lacs

chennai

Hybrid

Role & responsibilities The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case typesincluding automobile-related claims (e.g., no-fault/PIP), workers compensation, general liability, medical malpractice, and mass tortwith the ability to manage and optimize recoveries across all applicable third-party liability scenarios. Key Responsibilities Oversee subrogation operations, including internal teams and multiple vendor partners managing first-pass and second-pass recovery efforts. Direct the identification, pursuit, and resolution of subrogation cases across a broad spectrum of liability types. Develop and maintain policies, workflows, and escalation protocols to support efficient and compliant subrogation operations across Medicaid, Medicare, and Marketplace populations. Collaborate with legal, claims, provider relations, finance, and compliance departments to ensure coordination and alignment on recovery efforts. Monitor case outcomes and vendor performance to ensure recovery goals are met or exceeded. Conduct regular quality assurance reviews of subrogation case files and provide coaching or corrective action as needed. Analyze trends in recoveries and provide recommendations to improve operational effectiveness and financial performance. Lead training, coaching, and development of subrogation staff to maintain high performance and technical knowledge. Prepare performance dashboards, recovery reports, and operational updates for senior leadership. Preferred candidate profile 5+ years of experience in healthcare subrogation or legal recovery, including direct oversight of multiple subrogation case types. 3+ years of experience in a leadership or management role, including responsibility for both internal staff and vendor oversight. Experience working within a Managed Care Organization (MCO) or health plan environment. Proven ability to manage complex vendor relationships and recovery strategies (e.g., first-pass and second-pass vendor models). Strong understanding of federal and state regulations related to subrogation, including HIPAA, Medicaid TPL requirements, and CMS guidelines. Excellent analytical, negotiation, communication, and team leadership skills.

Posted Date not available

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.