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Healthcare Subrogation Jobs (NOW HIRING)

Attorney - Health Plan Recovery

Creve Coeur, MO ยท On-site

$120K - $170K/yr

A high-value portfolio of health plan reimbursement and subrogation cases * End-to-end negotiation ... are. * A team that values partnership, accountability, and results * Medical Insurance * Dental ...

Attorney - Health Plan Recovery

Creve Coeur, MO ยท On-site

$100K - $120K/yr

Ahigh-value portfolioof health plan reimbursement and subrogation cases * End-to-end negotiation ... are. * A team that values partnership, accountability, and results * Medical Insurance * Dental ...

Lead the development and production releases of robust, observable and intuitive solutions and workflows for healthcare subrogation product lines * Manage a small and nimble team of developers

$16.50 - $20.75/hr

Identifies members for case management or needed follow up regarding subrogation or coordination of ... About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients ...

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Healthcare Subrogation information

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How much do healthcare subrogation jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for healthcare subrogation in the United States is $21.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $23.56 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Healthcare Subrogation Specialist, and why are they important?

To thrive as a Healthcare Subrogation Specialist, you need strong analytical skills, knowledge of healthcare claims processing, and familiarity with insurance regulations, typically supported by a bachelor's degree or relevant experience. Proficiency with claims management systems, Microsoft Office Suite, and sometimes specialized subrogation software is commonly required. Excellent attention to detail, negotiation abilities, and effective communication skills make someone stand out in this role. These skills are crucial for accurately identifying recovery opportunities, navigating complex cases, and maximizing financial returns for healthcare organizations.

What is the difference between Healthcare Subrogation vs Healthcare Claims Specialist?

AspectHealthcare SubrogationHealthcare Claims Specialist
Primary RoleRecovering payments from third parties for insurance claimsProcessing and adjudicating insurance claims
CredentialsKnowledge of insurance laws, claims processingKnowledge of claims processing, coding, and billing
Work EnvironmentInsurance companies, third-party administratorsHospitals, insurance companies, healthcare providers
Industry UsageCommon in insurance recovery processesCommon in claims processing departments

Healthcare Subrogation focuses on recovering funds from third parties after a claim is paid, while Healthcare Claims Specialists handle the initial processing of insurance claims. Both roles require knowledge of insurance procedures but serve different functions within the healthcare reimbursement process.

What are some common challenges faced by professionals working in healthcare subrogation, and how can they be addressed?

Professionals in healthcare subrogation often encounter challenges such as navigating complex insurance policies, tracking down third-party liability, and managing large volumes of claims data. Staying organized and detail-oriented is essential, as missing key information can delay or jeopardize recoveries. Collaboration with legal teams, insurance companies, and healthcare providers is frequent, requiring strong communication skills. Continuous learning about regulatory changes and leveraging software tools can help streamline processes and improve outcomes.

What is healthcare subrogation?

Healthcare subrogation is the process by which a health insurance company seeks to recover costs it has paid for medical care when another party is responsible for those expenses. For example, if a member is injured in a car accident and their health insurer pays for treatment, the insurer may pursue reimbursement from the at-fault driver's insurance. This ensures that the responsible party ultimately pays for the costs, helping to keep healthcare premiums lower for everyone. Subrogation specialists often work to identify these cases and coordinate recovery efforts.
More about Healthcare Subrogation jobs
Infographic showing various Healthcare Subrogation job openings in the United States as of June 2026, with employment types broken down into 8% Locum Tenens, 14% As Needed, 1% Full Time, 76% Part Time, and 1% Nights. Highlights an 63% Physical, 9% Hybrid, and 28% Remote job distribution, with an average salary of $43,917 per year, or $21.1 per hour.

Subrogation Adjuster II

AmTrust Financial Services, Inc.

Dallas, TX โ€ข On-site

$65K - $84K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 13 days ago


Job description

Overview
The Workers Compensation Subrogation Adjuster is responsible for prompt and independent review of subrogation claims through effective coverage analysis, investigation, evaluation, negotiation and interaction with insureds, claimants, adverse parties and counsel. This adjuster is often assigned to mid-size or mid complexity claims in the Line of Business across multiple jurisdictions. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust and Claims organization
This role will require a hybrid work schedule (4 days in office, Fridays from home) in our Dallas, TX office.
Responsibilities
  • Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimant or injured party, witnesses, producers and adverse parties.
  • Documents strategy, action plan, and summary of correspondence in a clear, succinct and fact-based manner
  • Verifies liability and negligence scenario for the jurisdiction. Reviews issues and scenarios are needed with some supervisor guidance. Typically utilizes standardized language to draft positions if needed.
  • Notifies all potential parties, legal representative and insurance companies of our subrogation interest.
  • Ensures quality and timeline service is provided to all internal and external customers, whether directly or indirectly.
  • While working with internal or assigned Legal Counsel, will build strong relationships, and apply company principles and standards
  • Effectively negotiates and resolves litigated and non-litigated subrogation claims, and leverages relationships to achieve optimal outcomes.
  • Gains trust of other parties to negotiations and demonstrates good sense of timing.
  • Manages and controls loss adjustment expenses
  • Builds and leverages critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
  • Manages time and diary entries effective and efficiently, prioritizing work in a fast-paced environment.
  • Escalates claims decisions regarding settlement determination when appropriate to management.
  • Performs other functional duties as assigned.

#LI-EF1
#AmTrust
#LI-HYBRID
Qualifications
  • Bachelor's degree or equivalent experience
  • 1-3 years of subrogation claims handling experience OR a strong understanding of liability determinations with an aptitude to learn
  • State licensure as required
  • Demonstrated proficiency with MS Office suites
  • Demonstrated skills in investigation, evaluation and negotiation
  • Strong knowledge of insurance theory and practices

Preferred:
  • Multi-jurisdictional exposure preferred
  • Ability to obtain additional licensure as required
  • Some ability to travel may be required
  • Working knowledge of commercial general liability, commercial automobile, property and/or Workers' Compensation insurance coverages.
  • Experience with litigation, mediation and arbitration

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.