Subrogation Specialist

• Work Schedule: Monday through Friday 7-3:30
• Hours Per Week/FTE: 40 hrs weekly / 1.0 FTE
• Job Shift: Day
• Position Type: Full-time regular
• Job Category: Claims
• Department: Payment Integrity
• Pay Range: $33.29 - $49.93 hourly
• Pay Range Statement: Compensation is based on the level and requirements of the role. Pay within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities as well as internal equity. Hired candidates may be eligible to receive additional compensation based on role (e.g., shift differential, bonus, sales incentive, productivity pay, etc.).
• Overtime Eligibility Status: Exempt

HealthPartners is hiring a Subrogation Specialist. The Subrogation Specialist represents HealthPartners’ interests in subrogation recovery activities as a member of the Payment Integrity Team. This position independently manages routine and complex subrogation cases to successful resolution by evaluating liability, causation, contractual rights, and applicable statutory and case law. Through effective negotiation, advocacy, and legal analysis, the Subrogation Specialist pursues maximum recovery on behalf of HealthPartners while ensuring accurate documentation, compliance, and appropriate escalation of legal matters.

MINIMUM QUALIFICATIONS

Education, Experience or Equivalent Combination

• Bachelor’s degree in Business, Paralegal, Insurance, or a Health‑related field or seven (7) years of related experience
• Five (5) or more years of insurance litigation or subrogation program experience
• Demonstrates an understanding of tort theories and subrogation principles

• Ability to review and interpret medical reports, contractual language, statutory law, and case law

Licensure / Registration / Certification

• None required

Knowledge, Skills, and Abilities

• Excellent oral and written communication skills
• Proven negotiation skills
• Analytical with a strong attention to detail and accuracy
• Ability to make independent decisions and manage adverse parties
• Demonstrated planning, organizational, and time management skills
• Reliable and regular attendance

• Reliable transportation for limited local travel

PREFERRED QUALIFICATIONS

Education, Experience or Equivalent Combination

• Bachelor’s degree in Business, Insurance, or Health‑related field

Licensure / Registration / Certification

• Paralegal certification

ESSENTIAL DUTIES

(45%) – Case Management & Legal Analysis

• Obtain information from a variety of sources necessary to pursue subrogation claims to a successful conclusion.
• Monitor assigned files timely and determine appropriate next actions.
• Review medical claims and subrogation files and generate pleadings and correspondence to courts, insurers, and opposing parties.
• Interpret member contractual terms, statutory law, and case law to determine HealthPartners’ subrogation rights.
• Record all relevant case information in the Subrogation Case Management System.
• Maintain organized, accurate, and complete case files.
• Identify matters requiring Subrogation Supervisor or outside counsel involvement.

(30%) – Settlement Authority

• Exercise discretion and independent judgment to evaluate and settle HealthPartners’ subrogation claims against responsible parties.
• Analyze liability, causation, contractual rights, and current case law when determining settlement strategy and outcomes.
• Respond to settlement demands and legal positions consistent with HealthPartners’ interests and applicable law.

(15%) – External Communication & Representation

• Draft accurate, professional, and persuasive written correspondence to attorneys, insurers, courts, and other parties.
• Attend settlement conferences, pre‑trials, hearings, and mediations as a representative of HealthPartners.
• Present evidence to opposing parties and administrative law judges to support HealthPartners’ claims.
• Act as an advocate for HealthPartners regarding the legal and substantive posture of assigned cases.

(10%) – Internal Coordination

• Coordinate with HealthPartners’ Claims Departments to identify potential subrogation cases.
• Gather factual and claims information necessary to assert specific subrogation rights.
• Maintain and monitor accurate internal data related to assigned claims.
• Provide subrogation guidance and training to the Payment Integrity Team

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.