Case Development Specialist - Health Insurance Plan Recovery

Claims Intake Specialist – Healthcare RecoveryThe Claims Intake Specialist – Healthcare Recovery reviews inbound referrals and manually screens claims data to identify potential reimbursement and subrogation opportunities for Intellivo's clients. This role focuses on intake, validation, and case setup—ensuring that only high-quality, recoverable matters move forward to downstream recovery and legal teams. You will analyze medical claims, property & casualty (P&C) referrals, and related documentation to determine recovery potential, clarify facts, and accurately create cases in internal systems.This role is ideal for candidates with backgrounds in insurance claims intake, medical billing, revenue cycle operations, or payer intake functions who enjoy investigative review, accuracy-driven work, and high-impact decision-making.Responsibilities:Review inbound referrals, accident reports, and insurer-supplied data for recovery potentialManually screen healthcare claims and P&C information to identify third-party liability or reimbursement opportunitiesApply intake rules and guidelines to determine case creation, closure, or escalationDistinguish recoverable accident-related scenarios from non-recoverable or low-value claimsCase Setup & Data Entry:Create and update cases in internal systems with accurate parties, injury details, and claim dataCapture and summarize referral facts for recovery and legal teamsAssign case types, priorities, and attributes based on client requirementsInformation Gathering & Coordination:Request additional documentation from carriers, TPAs, attorneys, or internal teams to validate referralsDocument decisions and intake rationale clearlyEscalate complex or borderline cases to subject-matter expertsQualifications:1–3 years' experience in insurance claims intake, medical billing, revenue cycle, payer operations, or data-review rolesAssociate's or Bachelor's degree preferred (or equivalent experience)Familiarity with healthcare claims, P&C data, TPL, or subrogation a plusStrong attention to detail and investigative mindsetComfortable performing high-volume manual review across multiple systemsProficiency with Microsoft OfficeOrganized and able to manage intake queues independentlyCollaborative and comfortable escalating questionsWho 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 InsuranceDental & Vision InsuranceIndustry leading health & wellness benefits401(K) retirement planCompetitive Paid Time OffAnd More!