Claims Resolution Coordinator - Health Plan & Insurance Recovery

Intellivo•Creve Coeur, MO

4d•$43,000 - $54,000

About The Position

The Claims Resolution Coordinator 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 senior paralegals 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. Compensation: On-Target Earnings (OTE): $43,000 – $54,000 annually ( includes base salary plus performance-based incentive )

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