Sr. Claim Recovery Specialist (Fully Remote)

Partner Company; United States; Teletrabalho; USD 50 000 - 65 000; Tempo integral

Resumo da oferta

Partner Company is a remote healthcare cost-recovery specialist focused on recovering benefits paid by plans. We seek a Subrogation Specialist in the United States to identify and pursue recoveries efficiently while upholding confidentiality and compliance.

The role offers a full-time remote arrangement with competitive compensation and benefits. You will investigate claims, review plan documents, negotiate with carriers, and manage a caseload, applying relevant case law to support recovery

Qualificações

• 1–3 years in subrogation, claims recovery, or related field.
• Strong negotiation, communication, and analytical skills.
• Proficiency with Microsoft Office.

Responsabilidades

• Identify and pursue reimbursement when benefit plans have paid medical expenses that may be another party's responsibility.
• Manage recovery files, coordinate with attorneys and adjusters, and ensure compliant resolution.
• Investigate claims, communicate with carriers and participants, and negotiate recovery matters.
• Review plan documents and apply relevant case law to support recovery decisions.
• Maintain caseload, draft correspondence, and uphold confidentiality.

Conhecimentos

Negotiation

Communication

Analytical skills

Ferramentas

Microsoft Office

Descrição da oferta de emprego

• Identify and pursue reimbursement when benefit plans have paid medical expenses that may be another party's responsibility.
• Manage recovery files, coordinate with attorneys and adjusters, and ensure compliant resolution.

Key Responsibilities:

• Investigate claims, communicate with carriers and participants, and negotiate recovery matters.
• Review plan documents and apply relevant case law to support recovery decisions.
• Maintain caseload, draft correspondence, and uphold confidentiality.

Requirements:

• One to three years in subrogation, claims recovery, or related field.
• Strong negotiation, communication, and analytical skills, with Microsoft Office proficiency.
• Full-time remote role based in the US.
• Competitive annual salary of $50,000-$65,000 and an employee benefits package.

Partner Company

The company focuses on recovering healthcare costs for benefit plans, ensuring affordable health benefits for employees and their families. It is recognized for an inclusive, collaborative, and respectful workplace culture, and has received regional and national workplace awards.