Case Development Specialist - Health Insurance Plan Recovery
Intellivo · Creve Coeur, MO · 3 mo ago
On-siteHealthcareFull-time
Responsibilities
- Review inbound referrals, accident reports, and insurer-supplied data for recovery potential
- Manually screen healthcare claims and P&C information to identify third-party liability or reimbursement opportunities
- Apply intake rules and guidelines to determine case creation, closure, or escalation
- Distinguish recoverable accident-related scenarios from non-recoverable or low-value claims
- Create and update cases in internal systems with accurate parties, injury details, and claim data
- Capture and summarize referral facts for recovery and legal teams
- Assign case types, priorities, and attributes based on client requirements
- Request additional documentation from carriers, TPAs, attorneys, or internal teams to validate referrals
- Document decisions and intake rationale clearly
- Escalate complex or borderline cases to subject-matter experts
Qualifications
- 1–3 years’ experience in insurance claims intake, medical billing, revenue cycle, payer operations, or data-review roles
- Associates or Bachelor’s degree preferred (or equivalent experience)
- Familiarity with healthcare claims, P&C data, TPL, or subrogation a plus
- Strong attention to detail and investigative mindset
- Comfortable performing high-volume manual review across multiple systems
- Proficiency with Microsoft Office
- Organized and able to manage intake queues independently
- Collaborative and comfortable escalating questions
Benefits
- Medical Insurance
- Dental & Vision Insurance
- Industry leading health & wellness benefits
- 401(K) retirement plan
- Competitive Paid Time Off
- And More!