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Elevance Health

Sells health insurance and pharmacy benefits

Subrogation Analyst

Claims AdjudicationPosted on Nov 13
Full-timeRemote

About the Job

Requirements

  • At least 2 years of experience in Third Party Liability or Workers’ Compensation subrogation or a related field, or an equivalent combination of education and experience.

Responsibilities

  • Review and evaluate accident or incident reports, individual claims, and medical, legal, or other documents related to subrogation.
  • Respond to inquiries regarding claim recovery issues.
  • Identify, monitor, and evaluate claim data to determine relatedness and reimbursement amounts.
  • Analyze, interpret, and apply plan language, contracts, case law, and applicable statutes or regulations.
  • Prepare and maintain case files, correspondence, legal documents, and other information related to subrogation claims.
  • Coordinate actions involving accounting for payments received.
  • Evaluate and negotiate settlements of subrogation claims of all dollar amounts within a prescribed level of authority.

Desired Qualifications

  • A BA or BS degree.
  • A Legal Assistant certificate.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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