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Recovery Specialist I
Elevance Health. Handle overpayments or reimbursement from other parties who may be liable for payment of claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims processing, including handling overpayments, issuing refund requests, and adjusting claims. Proficient in relevant claims systems and software, with strong customer service skills.
Highest-signal resume keywords
Claims ProcessingOverpayment CalculationFEP Claims/Adjustments ExperienceCustomer Service ExperiencePC Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingOverpayment CalculationRefund ProcessingClaims AdjustmentCustomer Service
Tools & Technologies
Claims SystemsRelated Software
Industry Keywords
OverpaymentReimbursementRefund Request LettersMedication ListsVoluntary Refunds
About the role
Key responsibilities & impact- Handle overpayments or reimbursement from other parties who may be liable for payment of claims
- Determine and calculate overpayment amounts
- Issue refund request letters, notice letters, or medication lists
- Process voluntary refunds
- Adjust claims based on refunds received
- Handle routine recovery issues
Requirements
What you’ll need- H.S. diploma or equivalent
- Minimum of 2 years of experience in claims and/or customer service
- Any combination of education and experience providing an equivalent background
- FEP Claims/Adjustments experience strongly preferred
- Knowledge of relevant claims systems and related software strongly preferred
- Good PC skills strongly preferred
- Candidates must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, subject to applicable exceptions
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution and match
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, and vision benefits
- Short- and long-term disability benefits
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources