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Subrogation Recovery Specialist

2 months ago


Richmond, Virginia, United States Elevance Health Full time
Job Summary

We are seeking a highly skilled Subrogation Recovery Specialist to join our team at Elevance Health. As a Subrogation Recovery Specialist, you will play a critical role in researching and examining routine health claims to identify potential reimbursement opportunities from third-party liability, workers' compensation, and other subrogation/reimbursement cases.

Key Responsibilities
  • Initiate calls to insurance companies, attorneys, and other stakeholders to gather information and determine potential reimbursement opportunities.
  • Utilize various research methods and vendor systems to gather information and identify potential claims.
  • Work with subrogation staff and other departments to assist with the recovery process.
  • Prepare written communications and reports to stakeholders.
  • Review diagnostic and procedure codes to determine claims relevant to each case.
  • Assist with small-scale special projects and contribute to the growth and development of the subrogation team.
Requirements
  • A minimum of 1 year of inbound or outbound call experience, or any combination of education and experience that would provide an equivalent background.
  • Strong research and analytical skills, with the ability to work in a fast-paced environment.
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with stakeholders.
  • Ability to work independently and as part of a team, with a strong attention to detail and organizational skills.
Preferred Skills
  • BA/BS degree in a related field, such as business, healthcare, or finance.
  • Experience working in a healthcare cost containment or subrogation recovery environment.
  • Knowledge of healthcare regulations and laws, including HIPAA and the Affordable Care Act.
What We Offer

We offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and stock purchase plan. We also offer a range of professional development opportunities, including training and education programs, to help you grow and develop in your career.

We are an equal employment opportunity employer and welcome applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide a work environment that is free from discrimination and harassment.