Case Processor - Insurance Reimbursement Team

Intellivo • Creve Coeur, MO

2d

About The Position

The Case Processor/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 team leads 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.

Requirements

• 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

Nice To Haves

• Prior experience in healthcare reimbursement or payer environments a plus

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 Team Leads and Attorneys handling negotiations
• Monitor case status and flag coverage, liability, or timing concerns to the Team Lead
• Maintain complete case notes and communication logs in claims and recovery systems
• Support pod responsiveness standards and consistent health-plan client experience
• Partner with Team Leads to identify file gaps and follow-ups prior to settlement
• Track incoming reimbursement payments and escalate delays appropriately

Benefits

• Comprehensive medical, dental, and vision insurance
• 401(k) retirement savings plan with employer match
• Paid time off and paid holidays
• Company-paid life insurance and short-term and long-term disability coverage
• Employee Assistance Program with counseling, financial coaching, legal resources, career coaching, and wellness support
• Health Savings Account with company contributions for eligible employees
• Wellness, healthcare advocacy, and pet benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree