Subrogation Analyst

Elevance Health•Indianapolis, IN

4d•$25 - $39•Remote

About The Position

The Subrogation Analyst is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' Compensation and other subrogation/reimbursement recovery cases. Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.

Requirements

Requires minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background.

Nice To Haves

BA/BS degree or Legal Assistant certificate is preferred.

Responsibilities

Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation.
Responds to inquiries regarding claim recovery issues.
Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts.
Analyze, interpret and apply plan language, contracts, case law and various statutes or regulations.
Prepares and maintains case files, correspondence, legal documents and other information related to subrogation claims.
Coordinates actions involving accounting for payments received.
Evaluates and negotiates settlements of subrogation claims of all dollar amounts within a prescribed level of authority.