Overpayment Recovery Analyst – Employee Benefits

The Hartford•Lake Mary, FL

1d•Hybrid

About The Position

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future. The Hartford's Central Recovery Operations Team is seeking a highly motivated individual to join their team as a Group Benefits Overpayment Recovery Analyst . This role involves the identification, analysis, and recovery of intricate overpaid claims . The ideal candidate will possess exceptional desk management, negotiation, and communication skills and will act as the main point of contact for the claimant regarding resolution of the overpayment .

Requirements

Understanding of Group Benefits claims and the leading indicators of an overpayment preferred.
Proficiency in Group Benefits claim systems including DCS, THAA and PeopleSoft is preferred.
Consistent high level of performance and achievement over career span.
Candidate should demonstrate the ability to exceed metrics and be motivated to achieve high personal achievement.
Ability to build successful relationships with our field partners and claimants.
Candidate should exhibit strong desk management skills and the ability to work in a fast-paced environment with a proven track record of delivering results.
Excellent interpersonal skills and professional writing skills to clearly communicate and negotiate with claimants and attorneys in a professional demeanor.
High School diploma/GED
Bachelor’s degree or equivalent experience is strongly preferred
2 + years of prior claim or collections experience

Responsibilities

Overpayment Identification and Analysis
Conduct thorough review of claim referral to validate overpayment and ensure financial accuracy.
Utilize data science tools to detect discrepancies and proactively seek out overpayment recovery opportunities.
Collaborate with internal claim partners to coordinate additional investigations as needed.
Execute strategic plans for overpayment recovery that are aligned with organizational goals and impact the company’s bottom line.
Recovery and Reconciliation
Develop and implement strategies for recovering overpaid amounts from clients, vendors, and other parties.
Negotiate repayment plans and settlements, ensuring compliance with company policies and legal requirements.
Utilize data dashboards to monitor recoveries and other key performance metrics.
Effectively manage a high-volume case load and maintain timely follow- up communication to ensure accurate resolution.
Deliver exceptional customer service by balancing empathy and efficiency.
Demonstrate critical thinking in managing customer expectations and navigating complex negotiations to achieve favorable outcomes.
Continuous Improvement and Development
Participate in problem solving discussions and facilitate the implementation of process improvement.
Utilize advanced data analytics to identify root causes and patterns of overpayments and recommend improvements to prevent future occurrences.
Document and update standard operating procedures related to overpayment identification and recovery.
Stay current on industry trends, best practices, and emerging technologies in overpayment recovery and Group Benefits.
Attend relevant training sessions, workshops, and field huddles.
Act as a liaison to field business partners to provide education and awareness on overpayment trends, prevention, and recovery process.
Share knowledge and insight with team members to foster a culture of continuous improvement.
Stakeholder Collaboration
Serve as the primary point of contact for internal and external business partners regarding overpayment issues.
Provide guidance to team members on overpayment processes and best practices.
Ensure effective communication and coordination with finance, claims, customer service, and legal departments
Legal and Regulatory Compliance
Ensure compliance with company policies, regulatory requirements, and jurisdictional regulations that impact our recovery rights.
Stay informed about changes in laws and regulations affecting Group Benefits and overpayments by utilizing resources such as IKE and the State Content Map.
Effectively navigate and interpret policy language to ensure we are within our right to overpayment recovery.
Collaborate with legal to handle complex overpayment disputes, settlements, or challenges.