Senior Consultant , Senior Financial & Subrogation Liaison

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* Job Description:

**** Senior Financial & Subrogation Liaison*
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* Job Summary:

** This position will work closely with our subrogation vendor on investigating and pursuing subrogation from appropriate parties for recovery on STD and LTD claims. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements.  
** Skills & Responsibilities:
*** Proven ability to train Claims department including LTD and STD
* Demonstrated ability and willingness to give candid and meaningful feedback to Claims
* Expert technical ability in interpreting and communicating disability contract language
* Technical expert in interpreting policy language and utilizing the parameters to calculate complex subrogation and monthly benefit calculations
* Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy.
* Confidently negotiate claims to fairly resolve and reduce liability for Fullscope RMS and Client Carrier Partners
* Proficiently and proactively handle the claim file through various phases of subrogation. Independently review the applicability of coverage and civil law as well as local statues.
* Communicates with various parties associated with the claim. Respond to written and verbal inquiries in a timely and professional manner, ensuring compliance within all company and statutory guidelines.
* Effectively and independently negotiates settlements with insureds and third parties
* Works with and manage costs of outside vendor
* Identify subrogation opportunities and work with vendor to obtain recoveries
* Services as a subject matter expert to the claims department in all matters associated with third party and subrogation pursuit, including managing workflow, responding to third-party and subrogation vendor needs, as well as training and coaching employees.
* Supports the development of an organization focused on quality claims management
* Applies technical knowledge to support departmental development, special projects, and programs.
* Demonstrates proficient understanding of carrier/clients and accurate application of client specifics in client brand protection by the team.
* Identifies and communicates developmental areas which need improvement within the analyst’s or client’s block of business.
* Provides developmental feedback to team members on case level actions within the context of a training and coaching relationship.
* Assists in the design and delivery of training programs
* Completes special projects as necessary
* Maintains an acceptable level of technical acumen, policy and laws
* Delivers dependable, accurate, timely service and build strong relationships with clients and colleagues
* Conducts internal and external claims audits & training seminars
* Participates in the development of internal policies and procedures
* Participates in industry and client meetings as well as client presentations and training.  
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* Qualifications:

*** Minimum 3 years previous related work experience as well as specific disability product line experience required.  5 years of LTD and STD experience required.
* Excellent interpersonal skills to communicate and negotiate with other parties and conduct investigations required
* Proven interpersonal, analytical and negotiation abilities required
* Ability to provide information in a clear, concise manner, ability to build effective relationships
* Ability to exercise independent judgment, effectively make sound business decisions, and resolve unique and challenging problems
* Advanced analytical and problem-solving skills, ability to multi-task and to independently prioritize competing demands/requests within given time constraints
* Excellent conflict resolution skills
* Familiarity with Claims…