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Subrogation Analyst
Elevance HealthSubrogation Analyst at Elevance Health researching and examining health claims related to Third Party Liability and Workers Compensation. Handling complex reimbursement recovery cases with a focus on subrogation.
About the role
Key responsibilities & 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
What you’ll need- 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.
- BA/BS degree or Legal Assistant certificate is preferred.
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- 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
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claim evaluationdata analysiscontract interpretationlegal document preparationsettlement negotiationsubrogation claims managementreimbursement analysiscase law applicationstatutory regulation knowledgepayment accounting
Soft Skills
communicationnegotiationorganizational skillsanalytical thinkingattention to detail
Certifications
BA/BS degreeLegal Assistant certificate