A strategic subrogation partner for TPAs
With healthcare costs continuing to rise, subrogation is an essential cost containment mechanism. For some third-party administrators (TPAs), outsourcing subrogation is a more manageable alternative to spending time and resources on establishing a dedicated internal unit.
The power of partnership
A subrogation partner can be instrumental in helping TPAs improve operational efficiencies, optimize resources, recover claims, and reduce costs.
Jeff Lawmaster, Chief Innovation Officer at Leading Edge Administrators (a Carelon client) says, “Unless you plan on dedicating as much time as you possibly have to subrogation, you can’t catch everything. It’s best to either build a team, which requires a lot of time and work, or find a partner that’s an expert in that specific field.”
With so many vendors from which to choose, finding the right subrogation partner can be challenging. “There are a million vendors out there — which makes it hard to find the right one. I look at the vendor’s vision for their own company and how that aligns with the vision for ours. When I select a vendor, I select a partner,” Lawmaster explains.
Carelon has more than 30 years of experience providing best-in-class services that simplify the subrogation landscape. Our experienced staff has the tools and resources to maximize recoveries, reduce stakeholder abrasion, and improve overall performance. Our team manages the client’s subrogation needs from start to finish, working to quickly identify and recover claims payments that are not their responsibility. “Carelon has the reach and resources to identify opportunities that you may not find on your own,” Lawmaster explains.
What sets us apart?
As experts in health insurance, we manage every aspect of our clients’ subrogation processes and provide a customized program that meets their specific needs. Our secure and proven approach is designed to streamline subrogation functions. TPAs benefit from best-in-class service that includes automated processes, efficient communication, and adherence to regulations. TPAs can count on Carelon for:
Ease of doing business. As your partner, we go above and beyond to deliver a seamless experience. We leverage cutting-edge technology to optimize performance every step of the way. All case management data is securely stored on a single, user-friendly platform, facilitating accessibility, transparency, and reporting.
Simple implementation. During the implementation phase of a new partnership, the transition process can sometimes become challenging to navigate. We tailor our implementation plan around our clients’ unique needs. Structured, scalable processes can be activated quickly to accelerate claim recoveries with low impact on IT resources. This ensures that our system engages seamlessly to minimize disruptions. “We stood the implementation up within a couple of months,” notes Lawmaster.
Unmatched professionalism. You’ll have a true partner in Carelon. We’ll work with you — not compete against you. Our team is genuinely invested in building a professional relationship that ensures your success. Our clients have access to a senior executive sponsor that stays with them even after go-live. We will make your recoveries our priority.
Enhanced customer service experience. Our experienced team is communicative, responsive, and with you every step of the way. Jeff Lawmaster remarks, “I don’t worry about communication. I speak with the sales and account management team regularly. They’re always willing to listen to any concerns or issues that we have.”
The Carelon difference
- 50 states covered
- All lines of business served
- Go live in as quickly as 90 days
- 30+ years of experience
- 40M+ members managed
“Carelon Subrogation is great. They’re organized and polished and they have great people on their team to implement the ideas that they’ve put forth. Their focus aligns with what we’re trying to do.”
–Jeff Lawmaster, Chief Innovation Officer at Leading Edge Administrators
