Subrogation Services
Maximize recovery opportunities for your health plan
with expert subrogation solutions
Comprehensive Healthcare Subrogation Solutions
With over 33 years of experience in healthcare subrogation, Conduent offers end-to-end subrogation services designed to enhance your health plan’s financial performance. Our solutions encompass the full spectrum of health plan recovery services, including:
- Identifying: Utilizing advanced analytics to detect potential recovery opportunities.
- Investigation: Conducting thorough investigations to validate subrogation cases.
- Recovery: Executing effective recovery strategies to reclaim funds.
Why choose Conduent’s Healthcare Subrogation Services?
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Proven results
Our clients realize a 30% lift in subrogation recoveries.
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Experienced specialists
Our team of experienced Recovery Specialists and dedicated staff attorneys offer a full continuum of subrogation services from data intake, to identification, investigation, legal expertise, and recovery and reporting.
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Flexible delivery models
Our tenured legal and recovery teams are highly skilled in subrogation techniques and negotiation tactics—working tirelessly to recoup money on behalf of the payer.
Subrogation Services: Commonly asked questions
What are subrogation services and what is their purpose?
Conduent’s subrogation recovery services are designed to help organizations recover costs associated with claims from responsible third parties. These services typically cover various aspects of subrogation, which is the process by which an insurance company or another entity seeks reimbursement from a third party that caused the loss.
How do healthcare subrogation services work?
Healthcare subrogation services follow a structured process:
- Case Identification – Using data analytics to flag potentially recoverable claims.
- Investigation – Reviewing accident details or legal liability.
- Recovery – Coordinating with liable parties or insurers to reclaim payments.
- Legal Support – When necessary, attorneys may engage in litigation or negotiation.
- Reporting – Health plans receive regular insights on recoveries and outcomes.
- This end-to-end process helps ensure no recovery opportunity is overlooked.
What are the benefits of using subrogation services?
Subrogation services offer several advantages for health plans and payers:
- Increased recoveries from third-party liability cases
- Cost control by reducing inappropriate payouts
- Reduced administrative burden on internal teams
- Improved financial performance as part of broader payment integrity strategies
Who provides healthcare subrogation services?
Subrogation services are offered by:
- Third-party administrators (TPAs)
- Health insurance companies
- Specialized vendors like Conduent, which offer scalable, tech-enabled subrogation
- Recovery services including legal support and advanced analytics.
How can subrogation impact the insured member?
For most members, subrogation has minimal impact. However, members may be contacted to provide information (e.g., accident details). Importantly, subrogation helps control healthcare costs, which can lead to lower premiums and improved plan sustainability over time.