Subrogation Analyst
Elevance Health

Job Info

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Subrogation Analyst

Location: Virtual with the ideal candidate living 50 miles from the Louisville, KY, Waukesha, WI, or Indianapolis, IN PulsePoint locations.

A proud member of the Elevance Health family of companies, Carelon Subrogation, formerly Meridian Resource Company, is a health care cost containment company offering subrogation recovery services.

The Subrogation Analyst is responsible for handling complex Third Party Liability, Workers Compensation and other healthcare recovery cases.

How you will make an impact:

• Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation.
• Responds to inquiries regarding claim recovery issues.
• Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts.
• 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 subrogation 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.

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 Skills, Capabilities, and Experiences:

• BA/BS degree or Legal Assistant certificate is preferred.
• Inventory management experience preferred.
• Customer service experience preferred.
• Strong written and oral communication skills preferred.
• Time management skills preferred.
• Negotiation skills preferred.

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