Health Claim Recovery Specialist

1 month ago


Canton, Massachusetts, United States The Phia Group Full time
Job Summary

The Phia Group is seeking a skilled Health Claim Recovery Specialist to join our team. As a key member of our claim recovery services, you will play a crucial role in determining whether another proper payer exists and obtaining the details needed to pursue fund reimbursement.

Responsibilities:

  • Communicate with plan members to determine potential sources of recovery
  • Collect adjuster and claim information from insurance carriers
  • Balance communication with clients via phone and email
  • Review plan documents for possible exclusions
  • Verify first party, workers' compensation, third party, and/or attorney representation
  • Transfer files to the appropriate CRS
  • Ensure consistency and accuracy on time-sensitive documents

Requirements:

  • Excellent attention to detail and ability to multi-task
  • Excellent communication and organizational skills
  • High level of proficiency using Microsoft Word and Excel
  • Outstanding interpersonal and administrative skills
  • Ability to work as part of a team and independently

The Phia Group is committed to creating a diverse environment and is an equal opportunity employer. We welcome applications from qualified candidates who share our commitment to excellence and customer satisfaction.



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