Subrogation Examiner

:

Subrogation Examiner

Location : Louisville, KY - Waukesha, WI - Indianapolis, IN

Hours: An 8 hour shift between the hours of 7 am - 7 pm

**This position is a hybrid position and will require you to work remotely and in the office**

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Subrogation Examiner is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' Compensation and other subrogation/reimbursement recovery cases.

How you will make an impact:

• Initiates calls to groups, insurance companies, attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party.
• Responds to inquiries regarding information on injury claims.
• Utilizes various research methods and vendor systems to gather information.
• Works with subrogation staff, other departments and outside clients to assist with the recovery process.
• Prepares written communications.
• Reviews diagnostic and procedure codes to determine claims relevant to each case.
• Reviews internal systems/applications for various information needs.
• Assists with small scale special projects.

Minimum Requirements:

• Requires a minimum of 1 year of inbound or outbound call experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• BA/BS degree is preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Please apply directly to our website at:

Job Type: Full-time

Salary: $15.60 - $25.87 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Remote

Experience:

• Call Center: 1 year (Required)

Work Location: In person