UnitedHealth Group-posted about 1 year ago
$48,298 - $94,494/Yr
Full-time • Entry Level
Remote • Hartford, CT
Insurance Carriers and Related Activities

The Recovery and Resolution Analyst position at UnitedHealth Group involves investigating and negotiating healthcare subrogation matters for a multi-million dollar portfolio. This role is crucial in ensuring compliance with healthcare regulations and laws while working to recover funds for clients. The analyst will engage in a variety of tasks including data analysis, legal research, and effective communication with various stakeholders throughout the subrogation recovery process. The position offers the flexibility to work remotely and requires a commitment to maintaining high standards of professionalism and integrity.

  • Investigate, evaluate, and negotiate healthcare subrogation matters for a multi-million dollar portfolio up to $20M (70%)
  • Comprehend the nuances of Medicare, Medicaid, Self-Funded ERISA and Non-ERISA related health insurance subrogation recoveries and reimbursements
  • Research applicability of laws, regulations and other requirements to cases, contracts or decisions
  • Analyze data and interpret legal research to make conclusions and present results
  • Maintain working knowledge of ERISA and ensure adherence to state and federal subrogation laws
  • Identify, monitor and evaluate data to determine third party liability and reimbursement amounts
  • Conduct a high volume of outbound calls and respond to inquiries (20%)
  • Communicate effectively with various parties throughout the subrogation recovery process
  • Validate claim liability, adjuster's contact information, claim status, and treatment status
  • Thoroughly document all communications and maintain case activity calendar diaries (10%)
  • Ensure compliance with Health Insurance Portability and Accountability Act
  • May be involved with litigation as necessary
  • Negotiate settlements with adverse parties with professionalism and integrity
  • Recommend and participate in round table discussions of complex cases
  • Act as coach and mentor to other team members
  • Assist management on special projects and any other assigned tasks
  • High School Diploma / GED
  • Must be 18 years of age OR Older
  • 2+ years of healthcare claims experience
  • Experience working in healthcare insurance
  • Understanding of subrogation principles
  • Ability to work any of the 8-hour shift schedules during normal business hours
  • P&C (Property & Casualty) insurance experience
  • Demonstrated negotiation experience
  • Knowledge of local, state and federal laws and regulations pertaining to insurance
  • Experience working with claims and/or recovery
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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