Subrogation Examiner
Elevance Health, Louisville, KY, United States
Subrogation Examiner
Virtual: This role allows associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Alternative locations may be considered if candidates reside within a commuting distance of an office.
Schedule: Monday – Friday; 8:30 am – 5:00 pm Eastern Time
The Subrogation Examiner researches and examines routine health claims that may be related to Third Party Liability, Workers’ Compensation, and other subrogation/reimbursement recovery cases.
How you will make an impact
Initiate calls to groups, insurance companies, attorneys, members, and others as necessary to determine if claims have potential for reimbursement from another party.
Respond to inquiries regarding information on injury claims.
Utilize various research methods and vendor systems to gather information.
Work with subrogation staff, other departments, and outside clients to assist with the recovery process.
Prepare written communications.
Review diagnostic and procedure codes to determine claims relevant to each case.
Review internal systems/applications for various information needs.
Assist with small‑scale special projects.
Minimum Requirements
Requires a minimum of 1 year of inbound or outbound call experience; or any combination of education and experience that provides an equivalent background.
All new candidates in certain patient/member‑facing roles are required to be vaccinated against COVID‑19 and influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Virtual: This role allows associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Alternative locations may be considered if candidates reside within a commuting distance of an office.
Schedule: Monday – Friday; 8:30 am – 5:00 pm Eastern Time
The Subrogation Examiner researches and examines routine health claims that may be related to Third Party Liability, Workers’ Compensation, and other subrogation/reimbursement recovery cases.
How you will make an impact
Initiate calls to groups, insurance companies, attorneys, members, and others as necessary to determine if claims have potential for reimbursement from another party.
Respond to inquiries regarding information on injury claims.
Utilize various research methods and vendor systems to gather information.
Work with subrogation staff, other departments, and outside clients to assist with the recovery process.
Prepare written communications.
Review diagnostic and procedure codes to determine claims relevant to each case.
Review internal systems/applications for various information needs.
Assist with small‑scale special projects.
Minimum Requirements
Requires a minimum of 1 year of inbound or outbound call experience; or any combination of education and experience that provides an equivalent background.
All new candidates in certain patient/member‑facing roles are required to be vaccinated against COVID‑19 and influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
#J-18808-Ljbffr