Harnessing technology to rethink subrogation

How tailored engagement strategies uncover more opportunities

In subrogation, how you uncover opportunities for recovery can be as important as what you find. Yet, many health plans rely on outdated discovery methods that often cause friction with members.

Technology offers a smarter way to pinpoint potential opportunities and enhance member satisfaction. Recovery partners like Carelon are redefining subrogation processes through tailored, data-driven strategies that outperform traditional methods, increase recovery opportunities, and reduce member friction.

Modernizing the subrogation process


Effective subrogation processes require balance between recovery, compliance, and member relations. Traditional methods such as mailed questionnaires and manual processes can put this balance at risk. 

Modern technology, such as machine learning and predictive analytics, offers a more efficient path to uncovering high-value opportunities without burdening members. These powerful tools quickly analyze data, leading to more efficient case identification and reducing the number of times members are asked to engage.

 

A tailored engagement strategy


Advanced, non-abrasive member engagement strategies are at the heart of Carelon’s approach. The health plan’s unique subrogation needs drive tailored solutions that are efficient, transparent, cost-effective, and member-friendly. 

  • Non-Responder Program: Effectively re-engages unresponsive members to increase subrogation responses and optimize recovery potential. 
  • Case identification: Uses advanced predictive analytics to quickly identify high-value opportunities, boost subrogation efficiency, and target the most promising recovery cases.
  • Machine learning models: Minimizes unnecessary member communications, ensuring focused outreach that maximizes recovery outcomes.

Subrogation solutions that work

$2B+ recovered for clients since 2021

<1-year average recovery cycle*

Maximizing subrogation recoveries


By choosing innovative, less abrasive methods, health plans can foster stronger member relationships, maintain member satisfaction, and maximize recoveries.

Discover more, recover more

Download our infographic to learn more about data-driven subrogation and request a meeting with our team today.

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