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Recovery Specialist Associate

Location:

  • WI, Waukesha
  • OH, Mason
  • IN, Indianapolis
  • KY, Louisville

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Description

Hours for this position is 10:30 am – 7:00 pm Central Time/ 11:30 am – 8:00 pm Eastern Time

This position will require you to work remotely from your home. 

Location: Must reside within 50 miles from an Elevance Health office.

The Recovery Specialist Associate is responsible for identifying, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervision. Performs all authorized duties in the processing of overpayments allocated to the assigned market consistent with all applicable company and departmental policies.


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 mail.  For open cases, collects, records and verifies member information, pertinent accident details, attorney information and third-party liability information.  Records 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 - External:

Primary requirements:

  • 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

  • Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs

  • Excellent communications skills both oral and written.

Preferred requirements:

  • HS diploma or equivalent.

  • 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.


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.

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