Investigations Analyst

Katch•Remote- USA, FL

1d•Remote

About The Position

As an Investigator, you will be responsible for completing investigations to determine subrogation potential. Using your investigative and analytical skills you will work with a variety of contacts to gather accident details. You will use this information in conjunction with state and federal compliance policies, reimbursement policies, and contract compliance to complete your investigation and prepare the subrogation file to be handled by our Recovery Specialist team. Success in this role requires strong attention to detail, critical thinking, and effective communication skills. You should be comfortable working in a fast-paced environment, managing multiple priorities simultaneously, and adapting to changing business needs while maintaining a high level of accuracy and productivity.

Requirements

High School Diploma or equivalent
2+ years experience in claims investigation or related field
Strong communication and collaboration skills
Proficiency in claims systems and subrogation tools

Nice To Haves

Knowledge of healthcare coding (CPT, ICD-10) preferred

Responsibilities

Reviews and investigates within various claims platforms to determine coverage eligibility and plan information. (20%)
Enter missing case details into the case management system. (55%)
Review documentation to ensure consistent case set up process. (15%)
Contact external customers by phone/ email and solicit additional information required for the case. (8%)
Enter daily results into production tracker. (2%)

Benefits

Comprehensive medical, dental, and vision coverage
Wellness program with resources for healthy living
Health Savings Account (HSA) and Flexible Spending Account (FSA) for tax-free savings
Tuition reimbursement opportunities
Generous PTO so you can recharge
Paid holidays and sick time
Leave options to support life’s biggest moments
Life and Disability insurance through Unum
Voluntary coverage options for added peace of mind (Critical Illness, Accident, Hospital Indemnity, Legal, and Identity Protection)
Employee Assistance Program (EAP) for free, confidential counseling and support
Remote work options available for many roles
Flexible schedules in select positions