CSR ( Financial Ops Recovery Spec I )

Elevance Health, Inc.; Taguig; On-site; PHP 240,000 - 360,000; Full time

Job summary

Elevance Health, Inc. is seeking a CSR (Financial Ops Recovery Spec I) to set up and adjust claims overpayments identified earlier. You will support cash receipts, cash application, claim audits, and collections to recover overpayments.

The role requires a high school diploma and 1–2 years in claims processing or customer service, with an associate degree preferred. You will collaborate with internal teams to ensure accurate refunds and balance accounts.

Qualifications

• HS diploma required; 1–2 years in claims processing or customer service.
• Experience with overpayments, refunds, and cash applications is a plus.
• Attention to detail and ability to balance accounts.

Responsibilities

• Set up and adjust identified claims overpayments.
• Review and validate paid claims for overpayments using queries and research.
• Determine and process overpayment refunds and conduct voluntary refunds for accuracy.
• Assist with cash receipts, cash application, and claim audits.
• Coordinate with internal teams to ensure customer satisfaction and recovery of overpayments.

Skills

Customer service

Claims processing

Education

High School Diploma

Associate degree preferred

Job description

Position Title:

CSR ( Financial Ops Recovery Spec I )

Job Description:

Responsible for setting up and adjusting claims overpayments that have been previously identified. May do all or some of the following in relation to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments. Primary duties may include, but are not limited to: Reviews and validates paid claims for overpayments using various techniques including system-based queries, specialized reporting, or other research. Determines and calculates amount of overpayments and processes refunds. Researches voluntary refunds for accuracy. Requires accurate balancing of all accounts. Responsible for more routine issues. May work with internal staff from other departments to ensure customer satisfaction. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable balances and all other cash applications. Requires a H.S. diploma; 1-2 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background. Associate degree preferred.