Subrogation Examiner

Elevance Health

. Research and examine routine health claims potentially related to Third Party Liability, Workers' Compensation, and other subrogation/reimbursement recovery cases .

Posted 10/13/2026full-timeUnited StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in health claims research and subrogation processes, with strong communication skills for engaging with various stakeholders. Proficient in analyzing diagnostic and procedure codes to support reimbursement recovery efforts.

Highest-signal resume keywords

Health Claims ResearchSubrogation RecoveryInbound/Outbound Call ExperienceDiagnostic and Procedure Code ReviewWritten Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisResearch MethodsInformation GatheringCode ReviewData Entry

Soft Skills

CommunicationCollaborationProblem-Solving

Tools & Technologies

Vendor SystemsInternal Systems

Certifications & Qualifications

BA/BS Degree PreferredCOVID-19 VaccinationInfluenza Vaccination

Industry Keywords

Third Party LiabilityWorkers' CompensationReimbursementSubrogationClaims Processing

About the role

Key responsibilities & impact

Research and examine routine health claims potentially related to Third Party Liability, Workers' Compensation, and other subrogation/reimbursement recovery cases
Initiate calls to groups, insurance companies, attorneys, members, and others to determine whether claims have reimbursement potential from another party
Respond to inquiries regarding information on injury claims
Use research methods and vendor systems to gather information
Work with subrogation staff, other departments, and outside clients to assist with the recovery process
Prepare written communications
Review diagnostic and procedure codes to determine claims relevant to each case
Review internal systems and applications for information needs
Assist with small-scale special projects

Requirements

What you’ll need

Minimum of 1 year of inbound or outbound call experience; or any combination of education and experience providing an equivalent background
Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
BA/BS degree is preferred
New 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
Virtual full-time work, except for required in-person training sessions