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Subrogation Case Worker
North Carolina
Raleigh Metro Area
Customer Care
JN -062020-115032

The Subrogation Case Worker is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case.

- Effectively work, maintain and manage a variety of cases with current and accurate notes. - May have some training responsibilities for other case workers limited to projects and specific tasks.

- Maintain a daily system of providing timely and accurate information required to move cases through the verification and case management pipeline.

- Verify documents and coordinate health care coverage for patients, including eligibility of benefits.

- Professional interaction with attorneys, insurance adjusters, medical providers, court staff, recipients and family members.

- Negotiate lien settlements per contract guidelines.

- Prepare required correspondence, liens, claims and other related documents.

- Perform basic and advanced levels of document review, legal research, and case management.

- Compile, analyze and make conclusions about information from multiple sources.

- Give special attention to the timely processing of events, various legal deadlines, and critical accounting/finance issues.

- Process Intake referral leads from attorneys, insurance adjusters, personal representatives, stakeholders and medical providers.

- Review and research leads regarding potential accident or trauma situations.

- Handle phone inquiries for both demand package issues and from beneficiaries promptly and with courtesy.

- Meet department objective standards for Customer Service, Probate Research, Asset research, Document Review and Intake.

- Complete periodic reports for management when necessary.

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