Remote Subrogation Examiner: Claims Recovery Specialist

The Elevance Health Companies, Inc.; Louisville (KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental, vision plans

401(k) + match

Wellness programs

Paid time off

Job summary

Elevance Health is seeking a Subrogation Examiner to support flexible hybrid/virtual work arrangements. The role involves initiating calls to groups, insurers, attorneys and members to assess recovery potential, reviewing diagnoses and codes, and coordinating with subrogation staff to move cases forward.

The position emphasizes research, accurate documentation, and timely updates. A BA/BS is preferred, and at least one year of call experience is required.

Qualifications

• Minimum 1 year of inbound or outbound call experience.
• BA/BS degree preferred.

Responsibilities

• Initiates calls to groups, insurance companies, attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party.
• Responds to inquiries regarding information on injury claims.
• Utilizes various research methods and vendor systems to gather information.
• Works with subrogation staff, other departments and outside clients to assist with the recovery process.
• Prepares written communications.
• Reviews diagnostic and procedure codes to determine claims relevant to each case.
• Reviews internal systems/applications for various information needs.
• Assists with small scale special projects.

Skills

Call experience

Research skills

Written communications

Review codes

Systems knowledge

Collaboration

Project support

Education

BA/BS degree

Job description

Elevance Health is seeking a Subrogation Examiner to support flexible hybrid/virtual work arrangements. The role involves initiating calls to groups, insurers, attorneys and members to assess recovery potential, reviewing diagnoses and codes, and coordinating with subrogation staff to move cases forward.

The position emphasizes research, accurate documentation, and timely updates. A BA/BS is preferred, and at least one year of call experience is required.