Claims Recovery Specialist

Job Description

Job Description

About the Role

The Claims Recovery Specialist/Legal Assistant plays a central role within a recovery team supporting health plans in subrogation and third-party liability (TPL) recovery efforts. You manage the day-to-day administration of insurance recovery cases—keeping files organized, documentation complete, and case statuses current so attorneys and senior paralegals can focus on negotiation and settlement with carriers and liability insurers.

This is a frontline insurance-operations role focused on responsiveness, communication, and execution. You will serve as a primary point of contact for inbound inquiries, coordinate with insurance carriers and attorneys, and ensure every health plan recovery case is properly documented and progressing toward resolution.

This role is ideal for candidates with experience in insurance claims, payer operations, or healthcare billing who thrive in fast-paced environments and enjoy keeping complex claim portfolios moving forward.

Compensation:

• On-Target Earnings (OTE): $47,000 – $52,000 annually ( includes base salary plus performance-based incentive )

Responsibilities:

• Manage administrative tasks tied to active health plan subrogation and insurance recovery cases
• Answer inbound calls and emails regarding TPL claims, liens, coverage questions, and documentation requests
• Communicate professionally with plaintiff attorneys, insurance adjusters, claim representatives, and carriers
• Send lien notices and updates, confirm receipt, and follow up on missing or pending materials
• Prepare, organize, and route documentation for Senior Paralegals and Attorneys handling negotiations
• Monitor case status and flag coverage, liability, or timing concerns to the Senior Paralegal
• Maintain complete case notes and communication logs in claims and recovery systems
• Support pod responsiveness standards and consistent health-plan client experience
• Partner with Senior Paralegals to identify file gaps and follow-ups prior to settlement
• Track incoming reimbursement payments and escalate delays appropriately
  

Qualifications:

• Associate degree required; Bachelor’s preferred or equivalent industry experience (4+ years)
• Experience in insurance claims, health plan operations, subrogation, TPL, workers’ compensation, auto liability, or legal administration preferred
• Familiarity working with carriers, TPAs, and liability insurers
• Strong organizational skills and comfort handling high-volume claim files
• Excellent written and verbal communication
• Professional, service-oriented approach with external stakeholders
• Ability to prioritize requests in a fast-moving environment
• Detail-oriented and accurate with documentation
• Proactive and dependable—anticipates needs and keeps the team informed
• Prior experience in healthcare reimbursement or payer environments a plus
  

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 eliminating burdensome outreach to plan members. With a 26-year history of excellence, Intellivo proudly represents more than 200 of the country's largest health plans.

Benefits That Support You Inside and Outside of Work

• Comprehensive medical, dental, and vision insurance
• 401(k) retirement savings plan with employer match
• Paid time off and paid holidays
• Company-paid life insurance and short-term and long-term disability coverage
• Employee Assistance Program with counseling, financial coaching, legal resources, career coaching, and wellness support
• Health Savings Account with company contributions for eligible employees
• Wellness, healthcare advocacy, and pet benefits
• A high-performing, collaborative culture built on ownership, accountability, continuous improvement, and meaningful impact