Third Party Liability Associate

Description:

This role is important to our work because it helps us to recover the costs of medical claims that are caused by someone else’s negligence or fault. By doing so, we can reduce the premiums for our members and improve our financial performance. This role also helps us to provide excellent customer service and support to our members who are involved in accidents and need assistance with their claims.

Do you have a knack for resolving complex issues and providing outstanding customer service? Do you want to work for a company that values your skills and helps you grow? If so, you might be the perfect fit for our Third-Party Liability team!

As a Third-Party Liability Associate, you will be responsible for reviewing and processing medical claims that involve another party’s liability, such as auto accidents, slip and falls, or workers compensation. You will handle inbound and outbound calls from members, attorneys, other insurance companies, and medical providers, and conduct research and investigation to determine the responsible party and recover the claim costs. You will also assist with other special projects and tasks as directed by leadership.

You will be part of a dynamic and collaborative team that works hard to achieve our goals and deliver excellent service to our members. You will have the opportunity to learn new skills, improve your knowledge, and advance your career within our organization.

A Day In The Life
 

• Review accident-related claims and correspondence to make payment determinations based on policy provisions and state laws
• Handle incoming and outbound calls from members, attorneys, other insurance companies, and medical providers in a professional and friendly manner
• Conduct research and investigation to resolve other party liability and recover claim costs
• Verify and coordinate coverage limits and benefits with other auto, homeowners, and workers compensation carriers
• Perform within the acceptable range for efficiency and telephone measures as required by the unit
• Assist with other special projects and tasks as directed by leadership based on business needs
   

Nice To Have
 

• Knowledge of medical terminology
• 1+ years of experience in healthcare or related industry
• Third-Party Liability and Subrogation experience highly desired