Third Party Liability Specialist
Commonwealth of Pennsylvania•Dauphin County, PA
•Hybrid
About The Position
As a Third Party Liability Specialist with the Department of Human Services (DHS), you will take part in meaningful investigative work that supports the recovery of medical assistance funds. You will review key documents, research potential repayment sources, and communicate the legal authority for DHS to recover funds. You will follow up on cases to ensure payment, while developing knowledge of laws and regulations that guide recovery efforts. Step into a role where careful research and clear communication help strengthen program integrity across the Commonwealth!
Requirements
- Four years of technical experience collecting, reviewing, or evaluating information for program eligibility or insurance limits of liability; or A bachelor’s degree; or An equivalent combination of experience and training.
- Applicants will be considered to have met the educational requirements once they are within 3 months of graduating with a qualifying degree.
- You must meet the PA residency requirement.
- You must be able to perform essential job functions.
Responsibilities
- Analyze referrals from multiple sources to determine if benefits were incorrectly granted
- Investigate personal injury and estate cases through communication with attorneys, providers, and other agencies
- Study laws, regulations, and policies to interpret requirements and apply them to claim decisions
- Coordinate with internal units and partner agencies to support efficient recovery processes
- Maintain detailed case files, track significant events, and ensure proper documentation
- Negotiate fair resolutions using sound judgment and diplomacy to maximize collections
Benefits
- FREE parking!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
