Subrogation

Female Voiceover:

Recovering on overpayments linked to accident related medical and disability expenses, without causing member abrasion, can be challenging.

Optum pre and post pay subrogation can help health plans maximize recoveries, with a member sensitive approach.

Our automated technology is built on thousands of proprietary, subrogation specific rules to continuously score claims based on recovery potential.

And our machine learning models continuously update those rules and rescore claims, based on historical data, reducing false positives.

We investigate and route claims with high potential for recovery through national and state litigation and injury databases, to reduce member contact.

When outreach is necessary, we offer members ways to engage within their channel of preference, reducing abrasion and improving response rates.

For members that are non-responsive, our investigation specialists gather missing information from industry sources.

Our legal and operations experts are engaged, from start to finish, helping reduce recovery cycle times and maximize performance. The result? Over 1.7 billion dollars recovered for our clients, annually.

Learn how we can help you increase recoveries while reducing member abrasion, with Optum subrogation.