Subrogation Analyst

Elevance Health; Walnut Creek (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health services company is seeking a Subrogation Analyst to manage complex recovery cases related to Third Party Liability and Workers Compensation. The role offers virtual flexibility and requires at least 2 years of relevant experience. Ideal candidates should possess strong analytical and negotiation skills, as well as a BA/BS degree or Legal Assistant certificate.

Qualifications

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

Responsibilities

• Handle complex Third Party Liability and Workers Compensation recovery cases.
• Review incident reports and claims related to subrogation.
• Evaluate and negotiate settlements of subrogation claims.

Skills

Experience in Third Party Liability

Experience in Workers Compensation

Analytical skills

Negotiation skills

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.