Lien Resolution Team Lead

• Supervise, train, and evaluate a team of reductions and lien resolution specialists
• Assign files, manage workload distribution, conduct regular file reviews, and develop team negotiation skills
• Track and report aggregate reduction percentage, dollars saved, aging, and settlement-to-disbursement turnaround
• Identify missed savings opportunities and implement improvements
• Personally negotiate high-balance, high-complexity, and escalated reductions
• Resolve Medicare conditional payments and Medicare Secondary Payer obligations
• Direct resolution of Florida Medicaid (AHCA) claims, including the administrative challenge process
• Resolve ERISA and self-funded plan reimbursement claims, TRICARE and VA claims, and hospital and provider liens
• Negotiate letter of protection balances and maintain required documentation
• Analyze health insurance payments, PIP benefits, and other collateral sources to establish reimbursement exposure
• Build relationships and standing reduction arrangements with providers, facilities, and lien resolution vendors
• Provide attorneys with accurate lien exposure figures for settlement authority and client net-recovery decisions
• Ensure clients understand closing statements and that disbursements are accurate, documented, and prompt
• Standardize templates, escalation paths, and negotiation playbooks
• Recommend and help implement case management system and workflow improvements
• Ensure compliance with trust accounting, Florida Bar, and firm documentation requirements before funds are released

• Minimum of four (4) years of experience in medical lien resolution, reductions, or settlement negotiation at a personal injury firm, lien resolution company, or healthcare recovery vendor
• Minimum of 5 people managed in past roles (direct or indirect reports)
• Demonstrated track record of negotiating meaningful reductions on medical balances and liens, with supporting metrics
• Working knowledge of Medicare Secondary Payer rules and conditional payment resolution
• Working knowledge of Florida Medicaid third-party recovery and the AHCA lien process
• Familiarity with ERISA plan reimbursement claims and the difference between self-funded and fully insured plans
• Understanding of Florida PIP and the collateral source framework as it affects reimbursement exposure
• Strong command of settlement math, including gross to net, attorney fees and costs, pro rata allocation, common fund, and made-whole considerations
• Excellent written and verbal communication
• Proficiency with legal case management software and spreadsheets
• Bilingual English/Spanish, spoken and written (preferred)
• Experience at a high-volume Florida plaintiff personal injury firm (preferred)
• Experience negotiating with hospital systems and large provider groups in the South Florida market (preferred)
• Paralegal certificate or a bachelor’s degree in a related field (preferred)
• Experience building or refining a reductions workflow from the ground up (preferred)
• Familiarity with Medicare Set-Aside considerations in third-party liability settlements (preferred)

• Remote work 5 days a week
• Opportunity to grow a litigation career
• Collaborative, innovative, and high-accountability culture
• Professional growth and leadership development opportunities