Subrogation Investigator Chattanooga, TN/en-US/External/job/Chattanooga-TN/Subrogation-Investigator_R-16459-1/applyThis position is accountable for investigating, researching, evaluating, and development of new case files involving claims payments subject to recovery under BlueCross BlueShield of Tennessees contractual subrogation and right of recovery provisions. Job Description: Job Duties & Responsibilities * Obtain case information from various external sources such as questionnaires, accident reports, has direct contact with subscribers, witnesses, family members, claims adjusters, providers, and attorneys. * Analyze case information to determine whether there is a third party tort liability and whether, based on contract provision and the law of subrogation, a right of subrogation or a right of reimbursement exists. * Identify and record all members that may have been injured by the third party. * Conduct research to identify the potential source of recovery using all methods of investigation available. * Place all parties on notice by written letter. * Record potential lien amount in case file by researching paid claims to be included in the accident investigation. * Responsible for managing a case load where the lien amount is equal to or lesser value than $10,000.00. * Negotiate and settle cases within the parameters of this role; otherwise forward the case on to the next highest level. * Be present for external or telephone mediations and trials when necessary. Job Qualifications Education * High School diploma or equivalent work experience required * Associates degree from an accredited college preferred Experience (required) * 2 years of healthcare experience in customer service, claims processing, or other related roles and responsibilities required * Skilled in Word, Excel, and customer service Skills/Certifications * Must be able to work independently and proactively. * Organizational skills and attention to detail are vital to this role. * Ability to communicate effectively, at a high level of skill, both orally and in writing. * Understand the relevant aspects of automobile and casualty insurance claims. * Understand medical terminology relating to case evaluations and settlement. * Possess a working knowledge of the BCBST claims processing systems. Job Specific Requirements: Job Specific Qualifications: Paralegal experience highly preferred Experience with contract language preferred Healthcare insurance experience preferred Customer service and/or claims processing experience preferred Experience with healthcare providers preferred Number of Openings Available: 1 Worker Type: Employee Worker Sub-Type: Regular Company: BCBST BlueCross BlueShield of Tennessee, Inc. BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or membership in a historically under-represented group. BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means. Tobacco-Free Hiring Statement To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products in any form in Tennessee and where state law permits. A tobacco-free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a tobacco/nicotine test. An individual whose test result is positive for tobacco/nicotine will be disqualified from employment and the job offer will be withdrawn. Individuals who fail the tobacco/nicotine screening will be permitted to reapply for employment after 6 months, if tobacco/nicotine-free. Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW. Posted 2 Days AgoFull timeR-16459 About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years. More than that, we're your neighbors and friends fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.