Recovery Specialist Associate – Call Center

Elevance Health

. Identify, track, and reconcile provider overpayments .

Posted 10/6/2026full-timeUnited StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in claims processing and subrogation recovery operations, with strong problem-solving abilities and proficiency in Microsoft Office products. Capable of managing high-volume communications while ensuring compliance with HIPAA regulations.

Highest-signal resume keywords

Claims Processing ExperienceSubrogation Recovery OperationsMicrosoft Office ProficiencyProblem-Solving SkillsCall Center Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingData EntrySubrogation Claims ManagementMembership Eligibility DeterminationFile Note Recording

Soft Skills

Excellent Communication SkillsRelationship DevelopmentCustomer Service Orientation

Tools & Technologies

Microsoft OutlookMicrosoft TeamsMicrosoft ExcelMicrosoft PowerPointMicrosoft Word

Industry Keywords

HIPAA RegulationsHealth Care ExperienceThird-Party LiabilityWorker's CompensationMember-Facing Roles

About the role

Key responsibilities & impact

Identify, track, and reconcile provider overpayments
Ensure recovery of overpayments is made and reported under general supervision
Process overpayments allocated to the assigned market according to company and departmental policies
Support the Subrogation Recovery Operations team
Provide service to members, providers, group administrators, and attorneys regarding third-party/worker’s compensation subrogation files
Identify, review, set up, or close health insurance subrogation claims via phone, fax, email, or mail
Collect, record, and verify member, accident, attorney, and third-party liability information for open cases
Record detailed and accurate file notes from calls or written correspondence
Manage high-volume intake calls and correspondence inventory
Determine membership eligibility using job aids and membership systems
Respond to calls, letters, faxes, and emails from policyholders, agents, vendors, and providers
Solve problems and meet customer needs
Develop relationships with business units and service partners
Follow company and department policies, procedures, and HIPAA regulations
Perform other assigned duties

Requirements

What you’ll need

H.S. diploma or GED preferred
Minimum 2 years of claims or data entry experience
Any combination of education and experience providing an equivalent background
Prior call center experience strongly preferred
Medical claims processing experience preferred
Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs preferred
Excellent oral and written communication skills preferred
Prior health care experience preferred
Strong problem-solving skills preferred
Must be within a reasonable commuting distance from one of the posting locations unless accommodation is granted as required by law
Candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical benefits
dental benefits
vision benefits
short-term disability benefits
long-term disability benefits
401(k) + match
stock purchase plan
life insurance
wellness programs
financial education resources
Hybrid work arrangement with office attendance 1–2 days per week
Potential COVID-19 and Influenza vaccination requirement for certain patient/member-facing roles