Recovery Analyst

Centene Corporation

. Identify, research and investigate possible claims overpayments from internal and external reports .

Posted 10/8/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing, including the identification and investigation of overpayments, compliance with benefit plans, and effective reporting. Strong ability to interact with providers and vendors while ensuring adherence to policies and standards.

Highest-signal resume keywords

Claims Processing ExperienceOverpayment InvestigationData Extraction and ReportingProvider InteractionCompliance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingOverpayment IdentificationData ExtractionReport PreparationClaims Adjustment

Soft Skills

Interpersonal CommunicationProblem SolvingCollaboration

Industry Keywords

Benefit PlansProvider ContractsClaims Payment AccuracyHigh Volume AtmosphereFinance Coordination

About the role

Key responsibilities & impact

Identify, research and investigate possible claims overpayments from internal and external reports
Determine compliance with benefit plans, provider contracts, and policies and procedures regarding claims payment accuracy
Summarize research results for provider overpayment collections
Interact with providers regarding collections, adjustments, and problems
Interact with outsourced vendors and support overpayment identification efforts
Report additional areas where overpayments may have been or are being made
Prepare reports by extracting data to investigate additional exposure areas
Control exception amounts sent directly to providers for collection
Review Finance-recorded cash receipts for amounts sent in error to other sources
Send follow-up letters, record and monitor cash receipts, and issue monthly activity reports
Coordinate with outsourced vendors when receipts are misdirected
Work with the claims adjustment team to ensure errors are adjusted, especially when reconciliations are required
Complete additional departmental responsibilities and other assigned duties
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
One year of claims processing experience or a solid understanding of claims processing preferred
Undergraduate degree and/or equivalent experience
Minimum one year experience in a high production, high volume atmosphere
Ability to identify, research and investigate possible claims overpayments
Knowledge of benefit plans, provider contracts, and policies and procedures as they relate to claims payment accuracy
Ability to prepare reports by extracting data
Ability to interact with providers, outsourced vendors, claims adjustment teams, and Finance
Must comply with all policies and standards

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation