Recovery Specialist - Workers' Compensation

CopperPoint Insurance Company
NM, USA
$61K-$91K a year
Full-time

CopperPoint has an exciting opportunity for a Recovery Specialist - Workers' Compensation. The Recovery Specialist is responsible for recovering the cost of benefits paid or establishing a credit on future potential benefits on workers' compensation claims in cases where the accident was caused by a negligent third party.

Job Responsibilities :

Reviews cases designated as potential new subrogation and determines if they are viable third-party cases and provides daily updates of lien amounts and provider payments.

Identifies third party (ies) involved along with liability insurances associated with said parties. 25%

Manages a caseload of up to 200 300 claims; participates in negotiations involving third-party recoveries; protects the company and policyholder recovery rights at settlement conferences and mediations;

and authorizes final settlement of the subrogation or third-party aspect of workers' compensation claims. Coordinates and oversees the outsourcing of litigation to panel counsel on complex recovery cases. 40%

Responsible for communicating with internal and external parties regarding the third party case; provides and secures the necessary documentation to support successful outcomes, including but not limited to, such documents as police reports, public agency reports, and contact letters;

issues appropriate notices. 25%

Monitors and manages the timely receipt of checks in payment of the company’s liens; refers settlement authorizations over authority limit to attorney adviser;

ensures payment process is completed and all documentation is appropriately annotated in accordance with company process. 10%

Qualifications / Competencies :

2-6 years of work experience in the insurance industry in such positions as claims adjuster or subrogation representative is required for this position.

A high school diploma or equivalency degree is required for this position.

  • Intermediate to senior level knowledge in the area of workers' compensation law and tort law; basic understanding of rules and regulations pertaining to workers’ compensation and tort claim litigation.
  • Basic understanding of rehabilitation and vocational services and how they relate to the negotiation and settlement process.
  • Intermediate to senior-level knowledge of negotiation guidelines for third-party settlements.
  • Demonstrated experience exercising sound judgment successfully in negotiation situations.
  • Basic knowledge of medical and legal terminology.

Salary Range :

  • $61,000.00 - $91,000.00 annually
  • Compensation may vary depending on skills, experience, education, and geographical location.
  • In addition to base salary, compensation may include an annual discretionary bonus.

Benefits :

  • Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan.
  • We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistance Plan).
  • Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year.

Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions.

With an expanded Line of insurance products and a growing ten-state footprint in the western United States, CopperPoint embodies stability for policyholders in Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington.

CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, California-based Pacific Compensation Insurance Company, Alaska National Insurance Company, and other CopperPoint Insurance Entities.

CopperPoint’s culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships, and in-kind contributions.

We empower employees by providing 12 hours of paid volunteer time annually and matching their personal contributions to the charities of their choice up to $500 per year.

In 2020, CopperPoint employees reported 3,500 volunteer hours.

CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision, and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits and business casual dress.

CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by state, federal or local law.

CopperPoint maintains a drug-free workplace.

LI-Remote

30+ days ago
Related jobs
CopperPoint Insurance Company
NM, USA

CopperPoint has an exciting opportunity for a Recovery Specialist - Workers' Compensation. The Recovery Specialist is responsible for recovering the cost of benefits paid or establishing a credit on future potential benefits on workers' compensation claims in cases where the accident was caused by a...

Promoted
Wexford Health Sources
Los Lunas, New Mexico

The Administrative Assistant performs general administrative office assignments and functions as a communication link to and within the healthcare unit. POSITION: Administrative Assistant. Minimum two (2) years administrative experience. ...

Promoted
Mental Health Resources
Clovis, New Mexico

Submits claims and billings electronically using patient portals. Runs weekly reports and makes corrections to bill out clean claims. Maintains a spreadsheet of unpaid claims. ...

Promoted
CarMax
Los Alamos, New Mexico

Provide exceptional customer service by guiding customers every step of the way, from sale or facilitating the appraisal to test drives and arranging financing applications. As a Customer Specialist, you will be empowered to provide an iconic experience for our Customers by acting as a guide and off...

Promoted
FASTSIGNS #340101
Albuquerque, New Mexico

Fast-growing visual communications company seeks Customer Service Representative person with interest in Project Coordination. Customer Service skills and experience. Serves as first point of contact for walk-ins, email, and telephone customers. Works with management and support teams to satisfy cus...

Promoted
Bryan Doerner - State Farm Agent
Santa Fe, New Mexico

Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products. Establish customer ...

Promoted
Stephen Gillespie - State Farm Agent
Santa Fe, New Mexico

Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products. Establish customer ...

Promoted
La Clinica de Familia Inc.
Las Cruces, New Mexico

Also assists with other front office functions, especially providing effective customer service to patients, at assigned clinic. Exceptionally strong customer service, communication and interpersonal skills. For over 40 years, La Clinica has provided services to the residents of Southern New Mexico....

Promoted
ApexFocusGroup
Albuquerque, New Mexico
Remote

Data Entry Clerk Work From Home - Part Time Remote Focus Group Panelists. Data entry clerk experience is not necessary. If you are a data entry clerk or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. No Data Entry experience ne...

Promoted
American Consumer Panels
Bloomfield, New Mexico
Remote

...