Recovery Specialist Associate – Call Center

Role Overview

• Effectively support the Subrogation Recovery Operations team
• Provide exceptional service to members, providers, group administrators and attorneys
• Identify, review, set up or close health insurance subrogation claims
• Collect, record and verify member information, accident details, attorney information and third-party liability information
• Record detailed and accurate file notes obtained from calls or written correspondence
• Manage high-volume intake calls and correspondence inventory effectively
• Determine membership eligibility using various job aids and membership systems
• Respond to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
• Show initiative and resourcefulness in solving problems and meeting customer needs
• Develop relationships with other business units and service partners
• Adhere to company and department policies and procedures as well as HIPAA regulations.

Requirements

• Requires H.S. diploma or GED preferred
• Minimum 2 years of claims or data entry experience
• Prior call center experience strongly preferred
• Medical claims processing experience preferred
• Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word)
• Excellent communications skills both oral and written preferred
• Prior health care experience preferred
• Strong problem-solving skills preferred

Benefits

• Health insurance
• 401(k) + match
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources