Claims Recovery Examiner

Health Care Service Corporation

. Research refund checks, out of balance entries, and non-negotiated checks .

Posted 10/14/2026full-timeRemote • United StatesJunior💰 $18 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in coordination of benefits (COB) and health care reimbursement methodologies, with strong analytical and problem-solving skills. Proven ability to maintain positive relationships with customers and effectively communicate during outbound calls.

Highest-signal resume keywords

Coordination Of Benefits (COB)Health Care Reimbursement MethodologiesClaims ProcessingMathematical SkillsVerbal Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Research Refund ChecksOffsetting Provider ChecksVoiding Provider ChecksReissuing Provider ChecksContract Pricing KnowledgeOrganizational SkillsTime Management SkillsAnalytical SkillsProblem Solving Skills

Soft Skills

FlexibilityInterpersonal Skills

Certifications & Qualifications

High School GraduateGED

Industry Keywords

IHS Department Claims ProcessingCustomer ServiceAccounting Practices

About the role

Key responsibilities & impact

Research refund checks, out of balance entries, and non-negotiated checks
Take action based on research, including offsetting, voiding, or reissuing provider checks
Apply knowledge of complex pricing, contract pricing, and coordination of benefits
Conduct outbound calls to obtain additional information, clarify details, and resolve issues
Maintain positive relationships with customers and business partners

Requirements

What you’ll need

High school graduate or GED
1 year experience of coordination of benefits (COB) experience
Ability to determine health care reimbursement methodologies and coordinate benefits
Organizational and time management skills
Flexibility in dealing with changing priorities
Ability to work with others or independently as warranted by the task
Strong mathematical skills
Strong problem solving and analytical skills
Excellent verbal communication skills
Ability to confidently conduct outbound calls to obtain additional information, clarify details, and resolve issues
Qualified applicants must meet applicable employment requirements; employment may be contingent upon successful completion of drug screening
Preferred: 2 years progressive responsibility in IHS Department claims processing or Customer Service areas
Preferred: 2 years of accounting experience or good understanding of accounting practices, or 2 years of progressive responsibility in claims processing to include COB processing

Benefits

Comp & perks

Curated development plans and professional development
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Annual incentive bonus plan
Other incentives