New

Third Party Liability Representative

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jan 21, 2026
The Third-Party Representative will be responsible for investigating potential recoveries for third party liabilities through phone calls, questionnaires, claims, provider inquiries, ISO net, and other methods as required. This person will also be responsible for management of communications with internal and external parties, and high-level research work related to validation of subrogation. Deals directly with attorneys, providers, members, third party credit balance vendors and other insurers. Essential Functions -Responsible for identifying recovery opportunities within the coordination of benefits/third party liabilities department. -Adhere to state statutes and regulations regarding medical liens including completing requests for liens/updated liens from attorneys as well as negotiating lien settlements with attorneys according to guidelines. -Research and process PIP/Worker's Compensation claims. Process TPL payments according to desktop procedures, contractual requirements, and other regulatory requirements. -Verify patient information and coverage details, and coordinate benefits between primary health insurance, third-party payers, and government programs. -Responsible for phone calls to or from members, providers, attorneys, and other auto insurance companies to gather MVA and Workers Comp information. -Act as liaison for all TPL-related inquiries and issues both internal and external to the organization. Respond to providers, members and internal inquiries related to TPL cases. -Responsible for phone calls to or from members, providers, attorneys, and other auto insurance companies to gather MVA and Workers Comp information. Education High School Diploma or Equivalent required and Associate's Degree preferred Experience At least 1-2 years of experience in healthcare billing, claims management, or third-party liability preferred Knowledge, Skills, and Abilities Knowledge of healthcare billing practices, insurance coordination, and claims processing. Strong understanding of third-party liability regulations and claims processes. Excellent communication and customer service skills. Ability to handle sensitive information with discretion and confidentiality. Strong problem-solving and analytical abilities. Excellent organizational and multitasking skills with attention to detail and accuracy. Clear communication and interpersonal skills. Working Conditions This is a remote role that can be done from most US states This is a full-time schedule with a Monday through Friday, 8:00 AM - 4:30 PM EDT schedule Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.