Insurance investigator vs subrogation specialist

Differences between insurance investigator and subrogation specialist duties and responsibilities

Insurance investigator example responsibilities.

• Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
• Research commercial coverage plans and government plans such as Medicare and Medicaid.
• Follow all HIPPA guidelines and procedures to protect patients and company interest.
• Analyze high risk transaction activity and provide final approval of investigative case analyses utilize for SAR preparation and filing.
• Prepare facility specific HIPAA authorizations for release of records.

Subrogation specialist example responsibilities.

• Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
• Finalize claim settlements, process reimbursement checks and forward unsettled claim files to litigation or arbitration.
• Run CCC evaluations to determine vehicle values for proper settlement negotiations.
• Claim handling, negotiation and settlements of files within the CCC guidelines.
• Review and complete title and DMV transfer forms to process and dispose salvage vehicles.
• Assist auto owners with salvage title guidelines respective to their state DMV's rules.
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