Subrogation Manager Resumes in US-Pennsylvania-Philadelphia: Sheri

Subrogation Manager Resume

Contact Candidate

Name:

Sheri

Location:

US-Pennsylvania-Philadelphia

Experience:

Willing to Relocate:

Willing to Travel:

Most Recent Job Title:

Subrogation Manager

Personal Website:

Objective:

I desire a position in the healthcare or insurance industry that will allow me to utilize my sound leadership and decision-making skills while supporting a company’s stated vision or mission statement. My experience in the healthcare and legal fields will be an advantage for any industry management position.

Resume Text:

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with appropriate skills.
• Participate in audits and strategic business reviews of subrogation supplier. Collaborate with supplier to implement new processes and identify new areas of recovery potential.
• Continue actively handling subrogation cases and all other subrogation consultant duties detailed below while managing the unit.

October 1997 to March 2005– Aetna, Inc., Blue Bell, PA - Subrogation Consultant
• Actively pursue potential healthcare subrogation cases to increase recovery dollars for the department. Have contributed to meet unit recovery goals and have personally recovered over $1 million each year.
• Negotiate directly with attorneys and other third parties and exercise independent judgment in handling cases, including settlement negotiations.
• Proactively seek out and analyze legal opinions on cases/statutes raised by other parties; successfully present our position to obtain recoveries.
• Act as liaison and coordinate all subrogation issues for outside recovery supplier, including contract language, plan sponsor setup and the provision of affidavits to support recovery rights on files.
• Develop and implement subrogation integration policies for newly acquired companies.
• Routinely review and analyze contract language. Responsible for drafting updated language to continue to maximize recovery potential. Analyze applicable state/federal regulations and communicate with state insurance departments concerning contract language.
• Participate in calls and audits with plan sponsors to discuss the subrogation process, answer questions, and proactively suggest resolution to requests for non-standard procedures.
• Actively collaborate with various internal departments to educate them on the subrogation process.

August 1996 to October 1997 - Aetna U.S. Healthcare, Blue Bell, PA Legal Secretary
Handled administrative duties for health delivery attorney and regional general counsel for Mid-Atlantic region; drafted correspondence for attorneys; reviewed plan contracts, revised contracts per attorneys’ direction; managed schedules and appointments, scheduled and coordinated Board of Directors Meetings for various Aetna U.S. Healthcare Boards.

1994 to 1996 - Stevens & Lee, P.C., King of Prussia, PA - Legal Secretary
Handled administrative duties for litigation partner and two associates; drafted and prepared correspondence and court pleadings, including complaints, motions and appeal documents; maintained large litigation case files; handled revisions and finalization of agreement for major banking merger.

1992 to 1994 - O’Brien & Ryan - Plymouth Meeting, PA – Paralegal
Independently maintained case files; reviewed medical records and prepared summaries of records; coordinated breast implant litigation, including document searches and retrieval from CD for all defense counsel in Pennsylvania; reviewed and analyzed breast implant litigation documents for relevant material; interviewed defendants and prepared case summaries

Technical Skills
• Microsoft Office: Windows, Excel, Access
• Microsoft Outlook Email
• Healthcare claims system experience (Aetna-specific)

Education
• 1992 – Main Line Paralegal Institute – General Paralegal Certification – Maintained 4.0 GPA
• 2003 – Rio Salado College (Online Study Courses) – Psychology 101, Interpersonal Communication (4.0 in both courses)

Professional Affiliations/Designations
• Member of National Association of Subrogation Professionals (NASP) – NASP is a non-profit trade association comprised of insurance company professionals, attorneys and subrogation vendors. The mission of the organization is to enhance the stature and effectiveness of subrogation and recovery professionals through education, training and the exchange of information.
o Current member of Board of Directors of NASP. The board is responsible for setting the direction of the 2000 member strong organization.
o Chair of Health Care Track for NASP subrogation conference 2004 through 2006. Responsible for soliciting speakers and organizing topics, obtaining commitments, communicating status with NASP committee members, and meeting assigned deadlines.
• Achieved the designation of Certified Subrogation Recovery Professional in 2004.
• Active Pennsylvania Notary Public

References
• Available upon request

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