Party Liability Specialist

Join to apply for the Other Party Liability Specialist I role at Blue Cross of Idaho
. Blue Cross of Idaho is seeking an Other Party Liability Specialist who will identify, investigate, and collect recoveries from third parties and other insurers who are legally responsible for paying all or part of medical expenditures. The role involves interacting with attorneys and third‑party insurance professionals to explore liability opportunities, negotiate, and coordinate claim payments.

Experience:

2 years in the health industry, call center, claims, and/or collections.

• Prepares, researches, and analyzes claims reports to identify potential recoveries based on contract guidelines and Corporate procedures.
• Responds to subrogation inquiries regarding third‑party liability policies and Procedures.
• Develops cases resulting from beneficiary and provider‑initiated inquiries, internal referrals, personal research, and/or computer‑generated reports.
• Negotiates recovery with customers, pharmacies, and other insurance carriers to maximize recovery potential, within established guidelines.
• Testifies at court hearings and represents the Company in mediations.
• Responsible to understand contractual obligations regarding other party liability cases, and assists Enrollees, insurance companies, Attorneys, and internal customers with prospective and current other party liability matters for all lines of business.
• Communicates with self‑funded plan representatives to resolve issues regarding other party liability cases that are outside established guidelines.
• Reviews and processes drafts and/or checks and ensures accurate Record‑keeping and reporting of activities.
• Performs other duties and responsibilities as assigned.

As of the date of this posting, the estimated pay range is $20.93 to $29.29 per hour. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). Compensation decisions are made based on a range of factors including education, certifications, relevant experience, skills, seniority and performance.

Benefits include Paid Time Off, Paid Holidays, Community Service and Self‑care days, Medical/Dental/Vision/Pharmacy insurance, 401(k) matching, Life insurance, Short and Long‑term Disability, Education reimbursement, an Employee Assistance Plan, Adoption assistance program, and Paid Family Leave program.

In accordance with all state and local laws concerning Employee Leave benefits.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, Sexual orientation, Gender identity, Veteran status, Disability or any other protected class.

• Not Applicable

• Full‑time

• Other

• Insurance