Subrogation Analyst
Subrogation Analyst
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Job Description
Anticipated End Date:
Position Title:
Subrogation AnalystJob Description:
Subrogation Analyst
Location: Virtual: This role enables associate to work virtually fulltime with the exception of required inperson training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports worklife integration and ensures essential facetoface onboarding and skill development.
TheSubrogation Analystis responsible for processing submitting negotiating and settling insurance and Workers Compensation reimbursement requests using our regulationbased process calling to obtain information and documentation from insurance companies and medical facilities and maintaining relationships with examiners and payment staff. In addition candidate will assist with other various recovery team support duties.
How you will make an impact:
Reviews and evaluates accident or incident reports individual claims medical legal or other documents relating to subrogation or overpayments
Responds to inquiries regarding claim recovery issues
Analyze interpret and apply plan language contracts case law and various statutes or regulations
Prepares and maintains case files correspondence legal documents and other information related to Workers Compensation claims
Coordinates actions involving accounting for payments received
Evaluates and negotiates settlements of subrogation claims of all dollar amounts within a prescribed level of authority
Recognizes various types of insurance/medical forms records and documents
Prepares for and participates in dispute forum resolution through arbitration
Meets quality and timebased performance standards
Meets extraordinarily high standards for data and information confidentiality and security
Providing general assistance to the recovery team including but not limited to scanning documents coordinating mailing of correspondence and other general office support
Minimum Requirements:
Requires minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience which would provide an equivalent background.
Preferred Qualifications
Knowledge of New York and/or Connecticut Workers Compensation Regulations
BA/BS degree or Legal Assistant certificate is preferred
Previous experience working in collections recovery or a commercial insurance field preferred
A team player
An exceptional eye for detail
Excellent phone oral and written communication skills
Outstanding persuasion and negotiation skills
Superb analytical and problemsolving skills
Effective organization and time management skills
Knowledge of medical and/or claims terminology
Knowledge of insurance and Workers Compensation concepts
Very strong computer skills including Microsoft Office Suite
Ability to effectively navigate the Internet
Resourcefulness and the ability to locate information
The ability to persevere in challenging situations
Ability to strongly adhere to HIPAA security standards
Insurance/claims/medical experience a plus
For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $23.22/hour to $39.80/hour
Locations:District of Columbia (Washington DC) Illinois Maryland New York
In addition to your salary Elevance Health offers benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate nondiscriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender race or any other category protected by federal state and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.
Job Level:
NonManagement NonExemptWorkshift:
Job Family:
AFA > Financial OperationsPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.
We offer a range of marketcompetitive 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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Required Experience:
IC
Employment Type
Full-Time
