Subrogation Representative

Humana · San Juan, PR, United States

Location
San Juan
Job Type
Full-time
Posted
June 24, 2026

Job Description

**Become a part of our caring community**

The Subrogation Representative 3 is responsible for identifying, investigating, and recovering funds from third parties who are legally liable for medical expenses. This role collaborates with attorneys and insurance professionals to assess liability and ensures accurate maintenance of Coordination of Benefits (COB) records. The associate supports compliance with subrogation policies and procedures while delivering high-quality service and maintaining confidentiality of member information. This position reports to a Supervisor within the Subrogation Department.

+ Review and process subrogation correspondence and referrals within CRM systems (CAS/MTV) to determine appropriate handling under Third-Party Liability guidelines
+ Validate and match member information in CAS/MTV to ensure accurate case identification and documentation
+ Create and manage cases/events in Troveris to support recovery efforts from attorneys, insur...

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