Job details
Job type full-time
Full job description
Description
Shift: day job
Schedule: full-time
Recovery specialist associate (subrogation)
Responsible for identifying and initiating third-party/workers compensation, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervisionCollect and document auto insurance, attorney information and settlement detailsPerforms all authorized duties in the processing of intake referrals, calls and overpayments allocated to the assigned market consistent with all applicable company and departmental policies.
Hours for this position is 9:30 am – 6:00 pm central time/ 10:30 am – 7:00 pm eastern time
This position will require you to work remotely from your home.
Primary duties may include, but are not limited to:
Effectively support the subrogation recovery operations team.
Provides exceptional service to member, providers, group administrators and attorneys who are providing information on, or seeking information about third party/worker’s compensation subrogation files.
Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mailFor open cases, collects, records and verifies member information, pertinent accident details, attorney information and third-party liability informationRecords detailed and accurate file notes obtained from calls or written correspondence.
Manage high-volume intake calls and correspondence inventory effectively.
Determine membership eligibility using various job aids and membership systems.
Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
Show initiative and resourcefulness in solving problems and meeting customer needs.
Develop relationships with other business units and service partners whose assistance, cooperation and support may be needed.
Adheres to company and department policies and procedures as well as hipaa regulations.
Performs other duties as requested or assigned.
Qualifications
Required qualifications:
Hs diploma or equivalent and 2 years of experience in claims and/or customer service or data entry experience; or any combination of education, which would provide an equivalent background
Preferred qualifications:
Demonstrated knowledge of subrogation and medical claims.
Prior health care experience.
Requires strong problem-solving skills
Experience with medicare/medicaid claims.
Experience with using a document management system.
Proficiency with microsoft office products (outlook, ms teams, excel, powerpoint and word) and software programs
Excellent communications skills both oral and written.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, paid time off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Anthem, incHas been named as a fortune 100 best companies to work for®, is ranked as one of the 2020 world’s most admired companies among health insurers by fortune magazine, and a 2020 america’s best employers for diversity by forbesTo learn more about our company and apply, please visit us at careers.antheminc.comAn equal opportunity employer/disability/veteranAnthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all anthem positions.
