Full Job Description
Subrogation Team Lead
PRIMARY PURPOSE: Leads the recovery team which pursues potential subrogation recoveries arising from claims across all jurisdictions and lines of business.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• Ensures compliance with established recovery procedures and standards.
• Maintains quality control.
• Conducts periodic file reviews of team members' files.
• Acts as first-line authorization for litigation, including appeals, on any recovery claim.
• Authorizes payment of bills over the delegated authority of the reviewer.
• Provides guidance to colleagues on how to handle subrogation counsel for high complex cases and handles escalations.
• Schedules client file reviews and actively participates in discussions of subrogation resolution.
• Provides guidance on claim payments as needed and conducts audits to ensure colleagues are adhering to specified guidelines.
• Provides subrogation guidance and direction to both internal and external stakeholders in order to maximize recovery efforts in alignment with client, financial and jurisdictional strategy and guidelines.
• Oversees colleague preparation of client status report. Handles escalations and provides additional layer subrogation expertise as needed to the colleagues.
• Provides team guidance regarding the litigation process to ensures timely and cost-effective resolution.
• Develops training material and leads department training opportunities.
• Provides team guidance to ensure appropriate cost containment techniques, including strategic vendor partnerships, to reduce overall cost of claims for our clients.
• Conducts supervisory claim reviews in accordance with service expectations.
• Supports leadership and team inventory initiative by conducting ongoing reviews of colleague workloads; notes trends and suggests adjustments when necessary.
• Leads team meetings and assigns accountability for follow-up items.
• Assists in gathering important compliance/claims processing information to be presented at team meetings.
ADDTIONAL FUNCTIONS and RESPONSIBILITIES
• Performs other duties as assigned.
SUPERVISORY RESPONSIBILITIES
• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Assists with interviews, hires and establishes colleague performance development plans; conducts colleague performance reviews.
• Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required.
Experience
Six (6) years of claims experience or equivalent combination of experience and education required.
Skills & Knowledge
• Technical knowledge of recovery requirements
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.