Subrogation Examiner
Elevance Health•Indianapolis, IN
•Remote
About The Position
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.
Nice To Haves
- BA/BS degree is preferred.
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
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
