Subrogation Analyst

Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

The Subrogation Analyst is responsible for processing, submitting, negotiating, and settling insurance and Workers’ Compensation reimbursement requests using our regulation-based 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 time-based 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 problem-solving 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, non-discriminatory 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 Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please 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 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.

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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 elevancehealthjobssupport@elevancehealth.com 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.