Business Details
24 Years
experience
Expert Subrogation Recovery Services
Other Party Liability has specialized in subrogation recovery and coordination of benefits services for insurers, employers, and third-party administrators since 2002. Our team combines legal expertise with data-driven methodologies to identify and recover improperly paid healthcare claims, operating under attorney oversight to ensure compliance with evolving regulations. With nationwide capabilities, we provide tailored solutions including plan language drafting, recovery forecasting, and compliance consulting while maintaining transparent communication with clients.Our proven process has consistently delivered recoveries exceeding industry norms through systematic claim identification and litigation support. We prioritize ethical practices that balance aggressive recovery with member relations, supported by comprehensive tracking systems and detailed reporting frameworks.
Services
Subrogation Recovery
Data Mining
Plan Language Drafting
Recovery Forecasting
Compliance Consulting
Dependent Eligibility Audits
ERISA Compliance
HIPAA Compliance
TPL Identification
Claim Audits
Details
- Year established: 2002
Highlights and features
- We offer 22 years of specialized experience in healthcare subrogation recovery
- Our process includes attorney oversight for legal compliance and documentation
- Proven track record of exceeding industry recovery benchmarks
- Nationwide capabilities serving clients in all 50 states
- Comprehensive solutions from data mining to litigation support
Services
Subrogation Recovery
Our subrogation recovery service identifies improperly paid healthcare claims and pursues recovery from responsible third parties. We utilize data mining algorithms and attorney oversight to maximize recoveries while maintaining compliance with state and federal regulations. This service benefits insurers and employers by recouping misdirected healthcare payments through systematic identification and legal enforcement processes.
Plan Language Drafting
We specialize in crafting legally sound subrogation and coordination of benefits language tailored to specific jurisdictions. Our expertise addresses equitable principles and anti-subrogation laws to maximize recovery potential. This service ensures healthcare plans maintain enforceable provisions for claim reimbursement while complying with evolving legal standards across different states.
Dependent Eligibility Audits
Our eligibility audits identify ineligible dependents in healthcare plans to reduce unnecessary costs. The service examines enrollment records to detect discrepancies, including deceased retirees or Medicare-eligible spouses. This helps employers achieve immediate cost savings across multiple benefit categories while improving plan administration accuracy.
ERISA Compliance Consulting
We provide comprehensive ERISA compliance assessments for subrogation programs, addressing data privacy concerns and procedural safeguards. Our consulting service identifies potential violations and implements corrective measures to protect sensitive claim information. This ensures clients maintain regulatory compliance while optimizing recovery operations through secure data handling practices.
Recovery Forecasting
Our recovery forecasting service creates predictive models comparing current recovery performance with potential outcomes using our methodologies. The analysis incorporates claim patterns and jurisdictional factors to demonstrate financial improvement opportunities. This service helps clients quantify potential returns and develop data-driven recovery strategies tailored to their specific business needs.
People
Brendan Laffey
Principal
Brendan Laffey leads subrogation strategy development with over 20 years of healthcare recovery expertise. He specializes in legal compliance frameworks and has authored multiple industry publications on third-party liability issues.
Michael Laffey
Attorney
Michael Laffey focuses on workers' compensation subrogation and legal compliance matters. With extensive experience in state-specific regulations, he contributes to plan language development and complex case litigation strategies.
Questions
What types of claims do you handle?
We specialize in healthcare subrogation claims involving workers' compensation, auto insurance, property liability, and premises liability cases where health plans have paid primary obligations.
How do you identify recoverable claims?
Our proprietary data mining algorithms analyze claim details to identify potential third-party liabilities, focusing on cases where other insurers should have primary payment responsibility.
Do you handle litigation cases?
Yes, we manage complex subrogation cases requiring litigation through our affiliated law firm, Laffey & Associates P.C., with proven success in recovering difficult claims.
How are your fees structured?
Our fees are contingency-based, meaning we only receive payment from successful recoveries, aligning our interests with maximizing client returns.
Can you help with compliance issues?
We provide comprehensive compliance assessments covering ERISA, HIPAA, and state-specific regulations to ensure subrogation programs meet all legal requirements.
