Case Analyst - Insurance Reimbursement Team

Intellivo; Creve Coeur (MO); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and/or视

401(k) retirement savings plan with기업매

Paid time off and paid holidays

Life insurance and disability coverage

Employee Assistance Program with legal

Job summary

Intellivo is seeking a Case Analyst/Legal Assistant to support health plan subrogation and third-party liability (TPL) recovery efforts. You will manage day-to-day administration, keep files organized, and ensure case progression while attorneys negotiate with carriers and liability insurers.

The role emphasizes responsiveness, communication, and execution, serving as the primary contact for inquiries and coordinating with carriers and attorneys to advance recovery cases.

Qualifications

• Associate degree required; Bachelor’s degree preferred or equivalent industry experience.
• Experience in insurance claims, health plan operations, subrogation, TPL, workers’ compensation, auto liability, or legal administration preferred.
• Familiarity working with carriers, TPAs, and liability insurers.
• Strong organizational skills and comfort handling high-volume claim files.
• Excellent written and verbal communication.
• Professional, service-oriented approach with external stakeholders.
• Ability to prioritize requests in a fast-moving environment.
• Detail-oriented and accurate with documentation.
• Proactive and dependable—anticipates needs and keeps the team informed.

Responsibilities

• Manage administrative tasks tied to active health plan subrogation and insurance recovery cases.
• Answer inbound calls and emails regarding TPL claims, liens, coverage questions, and documentation requests.
• Communicate professionally with plaintiff attorneys, insurance adjusters, claim representatives, and carriers.
• Send lien notices and updates, confirm receipt, and follow up on missing or pending materials.
• Prepare, organize, and route documentation for Team Leads and Attorneys handling negotiations.
• Monitor case status and flag coverage, liability, or timing concerns to the Team Lead.
• Maintain complete case notes and communication logs in claims and recovery systems.
• Support pod responsiveness standards and consistent health-plan client experience.
• Partner with Team Leads to identify file gaps and follow-ups prior to settlement.
• Track incoming reimbursement payments and elevate delays appropriately.

Skills

Organizational skills

Written communication

Verbal communication

Detail-oriented

Proactive

Prioritization

Education

Associate degree required

Bachelor’s degree preferred or equivalent experience

4+ years experience in related field

Job description

About the Role

The Case Analyst/Legal Assistant plays a central role within a recovery pod supporting health plans in subrogation and third-party liability (TPL) recovery efforts. You manage the day-to-day administration of insurance recovery cases—keeping files organized, documentation complete, and case statuses current so attorneys and team leads can focus on negotiation and settlement with carriers and liability insurers.

This is a frontline insurance-operations role focused on responsiveness, communication, and execution. You will serve as a primary point of contact for inbound inquiries, coordinate with insurance carriers and attorneys, and ensure every health plan recovery case is properly documented and progressing toward resolution.

This role is ideal for candidates with experience in insurance claims, payer operations, or healthcare billing who thrive in fast-paced environments and enjoy keeping complex claim portfolios moving forward.

Compensation:

• On-Target Earnings (OTE): $50,000+ annually (includes base salary plus performance-based incentive)

Responsibilities:

• Manage administrative tasks tied to active health plan subrogation and insurance recovery cases
• Answer inbound calls and emails regarding TPL claims, liens, coverage questions, and documentation requests
• Communicate professionally with plaintiff attorneys, insurance adjusters, claim representatives, and carriers
• Send lien notices and updates, confirm receipt, and follow up on missing or pending materials
• Prepare, organize, and route documentation for Team Leads and Attorneys handling negotiations
• Monitor case status and flag coverage, liability, or timing concerns to the Team Lead
• Maintain complete case notes and communication logs in claims and recovery systems
• Support pod responsiveness standards and consistent health-plan client experience
• Partner with Team Leads to identify file gaps and follow-ups prior to settlement
• Track incoming reimbursement payments and elevate delays appropriately

Qualifications:

• Associate degree required; Bachelor’s preferred or equivalent industry experience (4+ years)
• Experience in insurance claims, health plan operations, subrogation, TPL, workers’ compensation, auto liability, or legal administration preferred
• Familiarity working with carriers, TPAs, and liability insurers
• Strong organizational skills and comfort handling high-volume claim files
• Excellent written and verbal communication
• Professional, service-oriented approach with external stakeholders
• Ability to prioritize requests in a fast-moving environment
• Detail-oriented and accurate with documentation
• Proactive and dependable—anticipates needs and keeps the team informed
• Prior experience in healthcare reimbursement or payer environments a plus

Who is Intellivo?

As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while eliminating burdensome outreach to plan members. With a 26-year history of excellence, Intellivo proudly represents more than 200 of the country's largest health plans.

Benefits That Support You Inside and Outside of Work

• Comprehensive medical, dental, and vision insurance
• 401(k) retirement savings plan with employer match
• Paid time off and paid holidays
• Company-paid life insurance and short-term and long-term disability coverage
• Employee Assistance Program with counseling, financial coaching, legal resources, career coaching, and wellness support
• Health Savings Account with company contributions for eligible employees
• Wellness, healthcare advocacy, and pet benefits
• A high-performing, collaborative culture built on ownership, accountability, continuous improvement, and meaningful impact