Subrogation Analyst

Elevance Health; Los Angeles (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare company is seeking a Subrogation Analyst to manage complex healthcare recovery cases. The role allows for remote work and requires strong analytical skills and at least 2 years of relevant experience. Ideal candidates will have a BA/BS degree or a Legal Assistant certificate. Responsibilities include evaluating claims and negotiating settlements.

Qualifications

• Minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation.
• Equivalent combination of education and/or experience.
• Background in subrogation preferred.

Responsibilities

• Review and evaluate accident or incident reports and individual claims.
• Respond to inquiries regarding claim recovery issues.
• Analyze, interpret, and apply plan language and regulations.

Skills

Analytical skills

Negotiation skills

Attention to detail

Education

BA/BS degree or Legal Assistant certificate

Job description

Position Title: Subrogation Analyst

Locations: Wisconsin, Indiana, Kentucky

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

Schedule: Monday - Friday; 8:30am-5:00pm Eastern Time

The Subrogation Analyst is responsible for handling complex Third Party Liability, Workers Compensation and other healthcare recovery cases.

How you will make an impact:

• Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation.
• Responds to inquiries regarding claim recovery issues.
• Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts.
• Analyze, interpret and apply plan language, contracts, case law and various statutes or regulations.
• Prepares and maintains case files, correspondence, legal documents and other information related to subrogation claims.
• Coordinates actions involving accounting for payments received.
• Evaluates and negotiates settlements of subrogation claims of all dollar amounts within a prescribed level of authority.

Minimum Requirements:

• Requires minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Background in subrogation preferred.
• BA/BS degree or Legal Assistant certificate is preferred.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.