Identify incorrect payments on accident-related claims
Identifying and recovering inaccurate payments on accident-related claims while respecting member sensitivity can be challenging. Optum® Subrogation services combine pre- and post-payment processes to help you identify, recover and prevent unnecessary payment of third-party claims.
Key benefits
Our Subrogation solution automates and streamlines the identification, investigation, recovery and prevention of high-potential claims.
Score claims with our robust analytic engine
Our 2.5K rules prioritize claims by recovery potential. Machine learning models use this data to update rules and reduce false positives.
Automate claim investigation
Claims are then matched against national and state litigation and injury databases to identify liable parties and limit member outreach.
Optimize member outreach
Advanced predictive analytics determine the best channel to engage members, when needed.
Leverage legal and operational expertise
Dedicated support is provided from the start to help with case management, member outreach, legal expertise, recovery, reporting and more.
Get started today
Find out how Optum Subrogation for health plans can help your organization.
Related healthcare insights
E-book
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Video
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Product information and resources
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PDF
Brochure
Maximize recoveries with a member-sensitive approach
Recovering incorrect payments linked to accident-related medical or disability expenses while respecting member sensitivity can be challenging. We help you identify, investigate and recover payments.
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PDF
Brochure
Maximize savings with Pre-Pay Subrogation services
By combining pre- and post-pay subrogation processes, health plans can avoid unnecessary payment of third-party claims while minimizing member abrasion.