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Subrogation Analyst
Elevance Health. Research and examine routine health claims related to Third Party Liability, Workers’ Compensation, and other subrogation/reimbursement recovery cases .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and evaluating Third Party Liability and Workers' Compensation claims, with a strong ability to interpret legal documents and negotiate settlements. Proficient in managing case files and coordinating reimbursement processes while ensuring compliance with relevant regulations.
Highest-signal resume keywords
Third Party Liability ExperienceWorkers' Compensation SubrogationLegal Document PreparationClaim Data AnalysisNegotiation 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
Claim EvaluationSubrogation RecoveryAccident Report ReviewPlan Language InterpretationRegulatory Compliance
Soft Skills
Communication SkillsProblem-SolvingAttention to Detail
Certifications & Qualifications
BA/BS DegreeLegal Assistant Certificate
Industry Keywords
SubrogationReimbursementClaim SettlementsCase LawStatutes
About the role
Key responsibilities & impact- Research and examine routine health claims related to Third Party Liability, Workers’ Compensation, and other subrogation/reimbursement recovery cases
- Review and evaluate accident or incident reports, individual claims, medical, legal, and other subrogation documents
- Respond 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, statutes, and regulations
- Prepare and maintain case files, correspondence, legal documents, and other subrogation information
- Coordinate actions involving accounting for payments received
- Evaluate and negotiate subrogation claim settlements within prescribed authority
Requirements
What you’ll need- 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 an equivalent background
- BA/BS degree or Legal Assistant certificate 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 stated exceptions
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
- 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) with match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual work flexibility
- Required in-person training sessions