Subrogation Analyst at Elevance Health

Waukesha, Wisconsin, United States

Elevance Health Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

  • 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 providing equivalent background)
  • Reside within a reasonable commuting distance from posting locations (Wisconsin, Indiana, Kentucky) unless accommodation granted
  • Availability for Monday-Friday, 8:30am-5:00pm Eastern Time schedule
  • Ability to attend required in-person training sessions

Responsibilities

  • Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation
  • Responds to inquiries regarding claim recovery issues
  • Identifies, monitors and evaluates claim data to determine relatedness and reimbursement amounts
  • Analyzes, interprets and applies 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
  • Handles complex Third Party Liability, Workers Compensation and other healthcare recovery cases

Skills

Subrogation
Third Party Liability
Workers Compensation
Claims Analysis
Case Evaluation
Settlement Negotiation
Healthcare Recovery
Plan Language Interpretation
Case Law
Regulations

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees

Benefits

Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.

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