Subrogation Analyst

Elevance Health•Louisville, KY

5d•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. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

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.