Catherine M. Eftekhar
La Grange,KY
Summary
Results-driven Senior Subrogation Analyst with over 13 years of experience in health care subrogation. Expertise in case management and compliance, known for securing favorable settlements and streamlining communication among stakeholders to enhance recovery outcomes.
Overview
13
13
years of professional experience
Work History
Senior Subrogation Analyst
The Rawlings Group
La Grange, Kentucky
04.2013 - Current
- Analyzed subrogation claims to determine liability and recovery opportunities.
- Maximized subrogation recoveries for health insurers by investigating and managing over 700 cases.
- Managed high volume inbound calls daily, providing accurate and efficient information while ensuring prompt, professional and courteous service.
- Negotiating effectively with plaintiff attorneys and insurance adjusters.
- Maintained expertise and knowledge of federal laws pertaining to health care subrogation including the Employee Retirement Income Security Act (ERISA), Federal Employees Health Benefits Act (FEHBA), Medicare Secondary Payer Act and Medicaid
- Streamlined communications between clients, adjusters, and attorneys to provide timely case updates.
- Conducted research on policy coverage and state regulations affecting claims.
- Trained new analysts on subrogation processes and best practices.
- Interpreted policy language from insurance contracts to determine coverage for subrogation rights.
- Ensured compliance with applicable state laws and regulations pertaining to collections activities.
- Secured favorable settlements with third parties for payment of subrogation claims through strategic negotiation.
- Reviewed and interpreted insurance policies to ensure compliance.
- Communicated regularly with internal staff and external stakeholders regarding status updates on claims files.
- Provided support during trial proceedings.
- Collaborated with other departments within the organization to ensure timely resolution of cases.
- Managed multiple files simultaneously while meeting tight deadlines.
- Made outreach to third parties and provided updates throughout the life of the files.
- Reviewed and analyzed insurance claims to determine appropriate subrogation recovery opportunities.
- Coordinated activities between internal departments and external vendors to ensure timely processing of claims.
- Assisted in training new employees on procedures related to filing and managing subrogation claims.
- Collaborated with outside counsels when necessary to obtain information relevant to a case.
Education
Bachelor of Arts - Advertising
Indiana University, Southeast
New Albany, IN05-2010
Accomplishments
Top Performer Award, 2025. Recovered $2,554,046.03, exceeding the yearly goal of $1,350,000.00
Named platinum performer for years 2015-2025, exceeding the yearly goal of $1,350,000.00
Named platinum performer for years 2015-2025, exceeding the yearly goal of $1,350,000.00
Timeline
Senior Subrogation Analyst
The Rawlings Group
04.2013 - Current
Bachelor of Arts - Advertising
Indiana University, Southeast