Location: Virtual with the ideal candidate living 50 miles from one of the posted Elevance Health PulsePoint locations.
A proud member of the Elevance Health family of companies, Carelon Subrogation, formerly Meridian Resource Company, is a health care cost containment company offering subrogation recovery services.
The Subrogation Analyst is responsible for handling complex Third Party Liability, Workers Compensation and other healthcare recovery cases.
How You Will Make An 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.
Minimum Requirements
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.
Preferred Skills, Capabilities, And Experiences
- BA/BS degree or Legal Assistant certificate is preferred.
- Inventory management experience preferred.
- Customer service experience preferred.
- Strong written and oral communication skills preferred.
- Time management skills preferred.
- Negotiation skills preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. 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.
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