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Subrogation Assistant Jobs in Riverside, CA (NOW HIRING)

This role works closely with case managers and attorneys, manages subrogation, and negotiates ... Ability to assist team members to develop knowledge and understanding of claims practice * Ability ...

Workers' Compensation Claim Specialist

Irvine, CA · On-site

$25 - $34.25/hr

... * Assist in the selection, referral and supervision of designated claim files sent to outside ... Assess and monitor subrogation claims for resolution. * Compute disability rates in accordance with ...

... * Assist in the selection, referral and supervision of designated claim files sent to outside ... Assess and monitor subrogation claims for resolution. * Compute disability rates in accordance with ...

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Subrogation Assistant information

What is the difference between Subrogation Assistant vs Claims Processor?

AspectSubrogation AssistantClaims Processor
Required CredentialsHigh school diploma; some roles may prefer insurance-related certificationsHigh school diploma; insurance or claims processing certifications beneficial
Work EnvironmentInsurance companies, legal settings, claims departmentsInsurance companies, healthcare providers, government agencies
Employer & Industry UsagePrimarily in insurance and legal sectors handling subrogation casesAcross insurance, healthcare, and government sectors managing claims
Common Search & ComparisonOften compared due to similar insurance support rolesRelated but more focused on claims management

The main difference is that a Subrogation Assistant specializes in recovering funds from third parties after an insurance claim, while a Claims Processor handles the overall processing of insurance claims. Both roles require knowledge of insurance procedures, but Subrogation Assistants focus more on legal and recovery aspects, whereas Claims Processors manage claim intake and documentation.

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

To thrive as a Subrogation Assistant, you need strong organizational skills, attention to detail, and a basic understanding of insurance and claims processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and document management systems is typically required. Excellent communication, problem-solving, and time management skills help you collaborate with adjusters, clients, and external parties. These abilities are critical to efficiently supporting the subrogation process, ensuring timely claim resolution and maximizing recoveries for the organization.

What are the most common challenges faced by Subrogation Assistants, and how can they be managed effectively?

Subrogation Assistants often encounter challenges related to managing a high volume of cases, ensuring accurate documentation, and navigating complex communication between insurance companies, clients, and third parties. Staying organized and utilizing case management software can help keep track of deadlines and case details. Developing strong attention to detail and proactive communication skills are key for efficiently gathering information and supporting successful recovery efforts. Regular collaboration with adjusters and legal teams also helps resolve issues quickly and maintain workflow efficiency.

What are Subrogation Assistants?

Subrogation Assistants are professionals who support insurance companies or legal departments in the process of recovering funds from third parties responsible for claims paid out. They handle administrative tasks such as gathering documentation, managing case files, communicating with involved parties, and assisting subrogation specialists or adjusters. Their work helps ensure that insurers can recoup losses efficiently, which can ultimately help keep insurance costs down. Subrogation Assistants play a critical role in maintaining accurate records and supporting the legal and financial recovery process.
What are the most commonly searched types of Subrogation jobs in Riverside, CA? The most popular types of Subrogation jobs in Riverside, CA are:
What are popular job titles related to Subrogation Assistant jobs in Riverside, CA? For Subrogation Assistant jobs in Riverside, CA, the most frequently searched job titles are:
What cities near Riverside, CA are hiring for Subrogation Assistant jobs? Cities near Riverside, CA with the most Subrogation Assistant job openings:

CA Senior Claims Specialist

Corvel

Rancho Cucamonga, CA • On-site

$29.35 - $47.28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago


CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

82nd of 138 rated financial services


Job description

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Receives Workers' Compensation claim, confirms policy coverage and acknowledgement of the claim
  • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
  • Establishes reserves and authorizes payments within reserving authority limits
  • Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
  • Coordinates early return-to-work efforts with the appropriate parties
  • Manages subrogation and litigation of claim as it applies
  • Manages potential claim recoveries of all types
  • Reports claims to the excess carrier when applicable
  • Communicates claim status with the customer and claimant
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Develops and maintains professional customer relationships
  • Complies with rules and regulations of applicable state
  • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP")
  • Additional duties as assigned

KNOWLEDGE & SKILLS:
  • Excellent written and verbal communication skills
  • Ability to assist team members to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to work both independently and within a team environment
  • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation

EDUCATION & EXPERIENCE:
  • Bachelor's degree or a combination of education and related experience
  • Minimum of 3 years' industry experience and claim handling
  • Self-Insured Certificate preferred
  • State Certification or license as an experienced claims adjuster
  • Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $29.35 - $47.28 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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