Insurance Reimbursement Specialist (Adjuster Negotiations)

Job Description

Job Description

About the Role

As an Insurance Reimbursement Specialist, you will manage a high-volume portfolio of healthcare subrogation and reimbursement cases and negotiate directly with liability insurance adjusters to secure accurate and timely recoveries for our clients.

Using your claims expertise, investigative skills, and negotiation ability, you will gather information from insurers, analyze payment responsibility, identify recovery opportunities, and drive cases to resolution. You’ll play a hands-on role in ensuring that injury-related medical costs are reimbursed properly and that health plans receive the funds they are owed.

This role is ideal for someone with experience in insurance claims or reimbursement who enjoys influencing outcomes, working complex cases, and delivering measurable financial results in a performance-driven environment.

Compensation:

• On-Target Earnings (OTE): $55,000 – $65,000 annually ( includes base salary plus performance-based commission )

Responsibilities:

• Manage a portfolio of subrogation, lien, and insurance reimbursement cases
• Develop case strategies that support strong financial outcomes and timely resolution
• Obtain and analyze documentation from insurers to confirm liability, coverage, and payment responsibility
• Negotiate directly with insurance adjusters and claim representatives to reach accurate settlements
• Drive cases forward through proactive outreach, consistent follow-up, and barrier removal
• Respond to inbound calls and emails regarding case status, documentation, and lien requests
• Build strong working relationships with adjusters, carriers, and external stakeholders
• Send lien notices, confirm receipt, and pursue missing or pending information
• Maintain detailed case notes and communication logs in recovery or claims systems
• Ensure settlement funds are received and posted in a timely manner
• Partner with internal teams for escalations, strategy alignment, or complex case review
  

Qualifications:

• Associate degree required; Bachelor’s degree preferred—or equivalent industry experience (3+ years)
• Background in insurance claims, subrogation, workers’ compensation, auto liability, personal injury, revenue cycle, COB, or healthcare reimbursement
• Proven ability to manage high-volume caseloads accurately
• Strong negotiation and persuasion skills
• Clear written and verbal communication, especially on phone and email
• Highly organized with strong follow-through
• Proactive problem-solver who keeps cases moving
• Comfortable working independently in a fast-paced environment
  

Who is Intellivo?

As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members. With a 25-year history of excellence, Intellivo proudly serves more than 200 of the country’s largest health plans. 

Why work for Intellivo?

Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. We are a team united by solving some of the most complex challenges on the financial side of healthcare.

• Amazing Team Members – Intellivators!
• Medical Insurance
• Dental & Vision Insurance
• Industry leading health & wellness benefits
• 401(K) retirement plan
• Competitive Paid Time Off
• And More!