Subrogation Examiner

Elevance Health • Louisville, KY

5d • Remote

About The Position

Subrogation Examiner 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 Examiner 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.

Requirements

• Requires a minimum of 1 year of inbound or outbound call experience; or any combination of education and experience, which would provide an equivalent background.

Responsibilities

• Initiates calls to groups, insurance companies, attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party.
• Responds to inquiries regarding information on injury claims.
• Utilizes various research methods and vendor systems to gather information.
• Works with subrogation staff, other departments and outside clients to assist with the recovery process.
• Prepares written communications.
• Reviews diagnostic and procedure codes to determine claims relevant to each case.
• Reviews internal systems/applications for various information needs.
• Assists with small scale special projects.

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