Anthem, Inc. Subrogation Analyst in Waukesha, Wisconsin
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
Given Anthem’s scale, balance sheet, broad national reach and depth at the local market level, Anthem has established a new business unit called the Diversified Business Group. The Diversified Business Group is a solutions-oriented business unit within the Company that will support Anthem and other external clients in the pursuit of transforming healthcare.
As a Subrogation Analyst, you would be responsible for handling complex Third Party Liability, Workers Compensation and other healthcare recovery cases.
Primary duties may include, but are not limited to:
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.
HS Diploma/GED is required.
Requires 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.
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.
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.