Claims Recovery Specialist

Intellivo; Creve Coeur (MO); On-site; USD 47,000 - 52,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision Insurance

Wellness benefits

401(K) retirement plan

Competitive Paid Time Off

Job summary

Intellivo, a leader in subrogation for health plans, seeks a Claims Recovery Case Specialist/Legal Assistant to manage health plan subrogation and third-party liability recovery cases. You will coordinate with carriers, attorneys, and senior paralegals to keep files organized and progressing toward settlement.

This frontline role emphasizes responsiveness, professional communication, and precise documentation in a fast-paced environment, supporting a team focused on maximizing recoveries.

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.

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 materials.
• Prepare, organize, and route documentation for Senior Paralegals and Attorneys handling negotiations.
• Monitor case status and flag coverage, liability, or timing concerns to the Senior Paralegal.
• Maintain complete case notes and communication logs in claims and recovery systems.
• Support pod responsiveness standards and consistent health‑plan client experience.
• Partner with Senior Paralegals to identify file gaps and follow-ups prior to settlement.
• Track incoming reimbursement payments and elevate delays appropriately.

Skills

Organizational skills

Strong communication

Attention to detail

Professional, service-oriented

Education

Associate degree

Bachelor’s degree preferred

Job description

About the Role

The Claims Recovery Case Specialist/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 senior paralegals 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): $47,000 – $52,000 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 Senior Paralegals and Attorneys handling negotiations
• Monitor case status and flag coverage, liability, or timing concerns to the Senior Paralegal
• Maintain complete case notes and communication logs in claims and recovery systems
• Support pod responsiveness standards and consistent health‑plan client experience
• Partner with Senior Paralegals 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 completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members. With a 25-year history of excellence, Intellivo proudly serves more than 200 of the country’s largest health plans.

Why work for Intellivo?

Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. We are a team united by solving some of the most complex challenges on the financial side of healthcare.

• Amazing Team Members – Intellivators!
• Medical Insurance
• Dental & Vision Insurance
• Industry leading health & wellness benefits
• 401(K) retirement plan
• Competitive Paid Time Off
• And More!