Subrogation Analyst

Elevance Health • Waukesha, WI

7d • Remote

About The Position

Subrogation Analyst Locations: Wisconsin, Indiana, Kentucky Virtual: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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. Schedule: Monday - Friday; 8:30am-5:00pm Eastern Time The Subrogation Analyst is responsible for handling complex Third Party Liability, Workers Compensation and other healthcare recovery cases. How you will make an impact: 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.

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

• Background in subrogation preferred.
• 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.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees