Summary
Overview
Work History
Education
Skills
Timeline
Receptionist
Richard Irvine II

Richard Irvine II

Oviedo,Florida

Summary

Detail-oriented Subrogation Specialist with 10 years of experience, skilled at applying creative approaches to solving complex problems.. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and subrogation of workers' compensation across various states.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Subrogation Specialist

Subro IQ
03.2024 - Current
  • Identify subrogation opportunities through review of loss information and FNOL data
  • Pursue workers' compensation subrogation
  • Negotiate with attorneys and other insurance carriers
  • Place carriers on notice of subrogation
  • Obtain documents supporting subrogation from clients
  • Perfect the lien and manage contact with claimants and their legal representatives
  • Submit demands for subrogation
  • Conduct work across multiple platforms including internal and client systems.

Group Benefits Subrogation Specialist

The Hartford
12.2018 - 10.2023
  • Spearheaded an initiative to improve the process for recovery of Georgia workers' compensation claims resulting in a 60-70% increase in recoveries.
  • Review Group Benefit Disability losses within specific claim offices to determine third party reimbursement potential
  • Negotiate with attorneys and other insurance companies to recover out of settlements
  • Participate in the development and presentation of third party reimbursement training materials to field offices
  • Plan, recommend and advocate a position supported by the plan, investigation, evaluation and final disposition of all claims assigned as appropriate
  • Participate in review and discussion of large potential third party reimbursement claims with senior management
  • Have consistently received perfect evaluations and have been a top recovery specialist for the teams
  • Employee Council liaison, team mentor, and member of Military Community ERG.

Other income benefits subrogation handler

The Hartford
11.2017 - 12.2018
  • Verified overpayment calculations were correct
  • Recovered overpayments from claimants created from Social Security Disability awards
  • Either pursued recovery in full or established a repayment plan to resolve the overpayment on Short Term and Long Term Disability claims
  • Acted as the main point of contact for the field group benefits analysts
  • Participated in the development and presentation of third party reimbursement training materials to the field offices
  • Operated within a team environment to enhance overall recovery
  • Consistently a top recovery handler for the team.

Auto Medical Claims Subrogation handler

The Hartford
06.2016 - 11.2017
  • Negotiated with attorneys to recover from settlements on bodily injury claims
  • Would roundtable the best possible resolution for claims that peers were working on
  • Trained new hires for the team
  • Kept up on all the state statutes to ensure proper handling in each state
  • Always maintained proper tasks on claims to be vigilant of any statute of limitations that may prevent recovery
  • Consistently received perfect evaluation scores and was always a top performer on the team.

AUTO Level 1 and 2 Claims Subrogation Handler

THE HARTFORD
09.2014 - 06.2016
  • Negotiated with other insurance carriers to recover what is owed back to The Hartford and our insureds
  • Kept open communication with our insureds to keep them updated on the recovery process
  • Reviewed files for arbitration when needed.

Education

Bachelor of Science - International Relations And Affairs

University of South Florida
Tampa, FL

Certification - Chinese Language And Culture

Tsinghua University
Beijing, China
08.2008

Skills

  • Decision-making capabilities
  • Policy Interpretation
  • Investigative research
  • Problem resolution
  • Workers' Compensation
  • Settlement Negotiations
  • Claims Investigation
  • File and Record Management
  • Liability Determination
  • Goal Setting
  • Teamwork and Collaboration

Timeline

Subrogation Specialist

Subro IQ
03.2024 - Current

Group Benefits Subrogation Specialist

The Hartford
12.2018 - 10.2023

Other income benefits subrogation handler

The Hartford
11.2017 - 12.2018

Auto Medical Claims Subrogation handler

The Hartford
06.2016 - 11.2017

AUTO Level 1 and 2 Claims Subrogation Handler

THE HARTFORD
09.2014 - 06.2016

Bachelor of Science - International Relations And Affairs

University of South Florida

Certification - Chinese Language And Culture

Tsinghua University
Richard Irvine II