Sara Beth Selch

• Responsible for processing, submitting, negotiating, and settling insurance and Workers’ Compensation reimbursement requests.
• Review accident or incident reports, individual claims, and other documents related to subrogation or overpayments.
• Analyzing and applying plan language, contracts, case law, and statutes, as well as coordinating actions involving accounting for payments received.

• Reviews claim files to identify, evaluate, analyze and interpret subrogation potential.

coordinate appropriate steps to secure evidence and ensure pursuit, development and recovery of claims.

• Evaluate the completeness and accuracy of documentary evidence, record and process all recovery payments, and prepare and issue payments for subrogation expenses. If recovery is completed, they ensure policyholders are reimbursed the deductible amounts.
• Responsible for evaluating and assisting clients in the evaluation of subrogation documents.

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyzes problems and provides information/solutions.
• Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Researches and analyzes data to address operational challenges and customer service issues.
• Provides external and internal customers with requested information.
• Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
• Uses computerized systems for tracking, information gathering and troubleshooting.
• Outbound calls are conducted in the ZipDrug business area.

• Contributed to successful project delivery by creating comprehensive meeting minutes and action item lists for prompt followup.
• Assisted Project Manager in tracking budget expenditures and identifying areas for cost optimization.
• Enhanced project efficiency by maintaining organized documentation and updating project schedules regularly.
• Managed vendor relationships, ensuring timely delivery of services and materials while adhering to quality standards.