Anthem, Inc. Recovery Specialist Associate (Subrogation) in Seven Hills, Ohio
SHIFT: Day Job
Be part of an extraordinary team!
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Recovery Sepcialist Associate (Subrogation)
Build the possibilities. Make an extraordinary impact.
The Recovery Specialist Associate (Subrogation) is responsible for identifying and initiating third-party/workers compensation, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervision. Collect and document auto insurance, attorney information and settlement details. Performs all authorized duties in the processing of intake referrals, calls and overpayments allocated to the assigned market consistent with all applicable company and departmental policies.
How you will make an impact:
Effectively support the Subrogation Recovery Operations team.
Provides exceptional service to member, providers, group administrators and attorneys who are providing information on, or seeking information about third party/worker’s compensation subrogation files.
Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail. For open cases, collects, records and verifies member information, pertinent accident details, attorney information and third-party liability information. Records detailed and accurate file notes obtained from calls or written correspondence.
Manage high-volume intake calls and correspondence inventory effectively.
Determine membership eligibility using various job aids and membership systems.
Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
Show initiative and resourcefulness in solving problems and meeting customer needs.
Develop relationships with other business units and service partners whose assistance, cooperation and support may be needed.
Adheres to company and department policies and procedures as well as HIPAA regulations.
Performs other duties as requested or assigned.
Location: United States - 100% remote any state where a PulsePoint is located.
Hours: 9:30am - 6:00pm CST
2 years of experience in claims and/or customer service or data entry experience; or any combination of education, which would provide an equivalent background
Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs.
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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem 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 firstname.lastname@example.org for assistance.