Sr Recovery Analyst
About The Position
The Sr. Recovery Analyst is responsible for aggressively recovering monies and proactively handling Michigan Catastrophic Claims Association (MCCA) or Michigan Assigned Claims Plan (MACP) files. The role involves evaluating and pursuing recoveries and reimbursements under MCCA or MACP rules. The analyst examines claim facts, medical treatment, and claim payments to distinguish reimbursable from non-reimbursable losses and expenses, and determines whether claims are billable under the applicable plans. The position requires applying concepts and rules from the MCCA Claim Guide or MACP Plan of Operations in a fast-paced environment, using critical thinking to anticipate and solve problems in a timely manner. This is a full-time, non-exempt position with a hybrid work arrangement requiring two days in the office. The listed locations are Howell, Farmington, and Southfield, Michigan. The position may also entail other essential and job-related functions and responsibilities beyond the examples in the posting.
Requirements
- Bachelor’s degree or equivalent experience.
- At least 2 years of working knowledge of Michigan No Fault claims adjusting and recovery practices.
- Familiarity with claims systems (HCS/CSS), Mainframe (PMS), and bill review systems (CorVel/Power track).
- Advanced computer experience with MS Office, Excel, Word, and Access.
- Commitment to meeting the expectations and requirements of internal and external customers.
- Ability to make timely, informed decisions.
- Ability to maintain constructive working relationships.
- Strong organizational and time-management skills.
- Ability to win concessions without damaging relationships using negotiation and diplomacy skills.
- Strong written and verbal communication skills.
- Ability to adapt to new and changing environments and priorities.
- Ability to operate with appropriate management oversight.
- Ability to foster teamwork and collaboration.
- Critical-thinking ability, including anticipating, recognizing, and identifying problems and developing solutions in a timely manner.
- Ability to create innovative ideas and solutions to problems.
Responsibilities
- Proactively and strategically evaluate files for potential recoveries.
- Interpret claim file materials and their relationship to the recovery process.
- Maintain accurate records, reports, and file documentation.
- Make decisions in accordance with jurisdictional guidelines.
- Accurately calculate recovery potential.
- Provide management with meaningful feedback regarding claim developments.
- Maintain a high level of productivity and collaboration.
- Manage claims throughout the recovery process, both internally and externally.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
