Overpayment Recovery Specialist - Claims & Cash Ops

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

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.