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Remote Subrogation Jobs in Schenectady, NY (NOW HIRING)

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims ... subrogation, medical necessity and other claim investigation as appropriate * Complete all ...

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Remote Subrogation information

What is a remote subrogation job?

Remote subrogation jobs involve investigating and pursuing the recovery of funds from responsible third parties, typically in insurance claims, while working from a remote location. Professionals in these roles review claim files, gather evidence, negotiate settlements, and communicate with clients and other parties electronically. These positions require strong analytical, negotiation, and communication skills, as well as knowledge of insurance policies and legal principles related to subrogation. Remote subrogation jobs offer flexibility and the ability to work from home, making them a popular option in the insurance industry.

What is a remote subrogation job?

Subrogation involves the transfer of rights and duties from one person or group to another, usually regarding a debt or insurance claim for an automobile, piece of property, or medical expense. Remote subrogation jobs allow you to complete your subrogation responsibilities while you work from home. Duties may differ depending on the position, but you may investigate and examine claims, evaluate a property, assess damage, decide liability, and handle the legal components. Some job titles include working as a remote subrogation specialist, a remote subrogation attorney, a remote subrogation examiner, and a subrogation analyst.

What are the key skills and qualifications needed to thrive as a remote subrogation specialist?

To thrive as a Remote Subrogation Specialist, you need a solid understanding of insurance claims processes, investigative skills, and typically an associate’s or bachelor’s degree in a related field. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are common technical requirements. Strong attention to detail, negotiation skills, and the ability to communicate effectively with clients and third parties are standout soft skills. These abilities are crucial for accurately identifying recovery opportunities, securing settlements, and ensuring successful claims resolution in a remote work environment.

What are some common challenges faced by remote subrogation professionals, and how can they be managed?

Remote subrogation professionals often encounter challenges such as coordinating effectively with clients, insurers, and legal teams across different locations and time zones. Managing digital documentation securely and ensuring prompt communication are crucial for success in this role. Utilizing robust case management software, maintaining organized digital records, and setting clear expectations for virtual collaboration can help address these challenges, enabling remote subrogation specialists to work efficiently while maintaining strong relationships with stakeholders.

What is the difference between Remote Subrogation vs Remote Claims Adjuster?

AspectRemote SubrogationRemote Claims Adjuster
Required CredentialsInsurance licenses, legal knowledgeAdjuster licenses, insurance knowledge
Work EnvironmentRemote, legal and insurance settingsRemote, insurance claims processing
Industry UsageInsurance, legal recoveryInsurance, claims management

Remote Subrogation focuses on recovering funds from third parties after an insurance payout, often requiring legal and insurance knowledge. Remote Claims Adjusters evaluate and settle insurance claims, handling a broader range of claims. Both roles are remote and industry-specific, but they differ in their primary functions and required expertise.

More about Remote Subrogation jobs

What are popular job titles related to Remote Subrogation jobs in Schenectady, NY?

For Remote Subrogation jobs in Schenectady, NY, the most frequently searched job titles are:

What job categories do people searching Remote Subrogation jobs in Schenectady, NY look for?

The top searched job categories for Remote Subrogation jobs in Schenectady, NY are:

What cities near Schenectady, NY are hiring for Remote Subrogation jobs?

Cities near Schenectady, NY with the most Remote Subrogation job openings:

Remote Subrogation jobs near you
Infographic showing various Remote Subrogation job openings in Schenectady, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

FACETS Claims Processor

Albany, NY • Remote

Sourcedge Solutions
See more jobs at Sourcedge Solutionsexternal

$17 - $21.25/hr

Contractor

Re-posted 16 days ago

Job description

Location: Remote 
Reply at: Jobs@sourcedge.com
FACETS SENIOR CLAIMS PROCESSOR 
Job Description:
 
  • 5 Years Facets Claims Adjudication Experience
 
  • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements
 
  • High school diploma or equivalent required
 
  • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients
 
  • Possess high productivity and quality standards within a claims processing automation environment
 
  • Knowledge of CPT, HCPC, ICD-10 codes
 
  • Knowledge of HMO, PPO, Medicare and Medicaid plans
 
  • Knowledge of Medical terminology
 
  • Computer with 2 Monitors
 
  • High Speed Internet Connection
 
  • Ability to work remote 8 hour day, Mon-Fri.

Responsibilities:
 
  • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business
 
  • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including  third-party liability claims
 
  • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements
 
  • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards
 
  • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues
 
  • Compliance with state, federal and contractual requirements to Claims Administration
 
  • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications
 
  • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review
 
  • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines
 
  • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate
 
  • Complete all mandatory claims training/refresher courses
 
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
 
  • Complete all mandatory compliance and corporate training
 
  • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan