Case Processor - Insurance Reimbursement Team
Intellivo · Creve Coeur, MO · 1 wk ago
On-siteOTHR$50k/yrFull-time
About The Role The Case Processor/Legal Assistant plays a central role within a recovery pod 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 team leads 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): $50,000+ annually (includes base salary plus performance-based incentive) Responsibilities Manage administrative tasks tied to active health plan subrogation and insurance recovery casesAnswer inbound calls and emails regarding TPL claims, liens, coverage questions, and documentation requestsCommunicate professionally with plaintiff attorneys, insurance adjusters, claim representatives, and carriersSend lien notices and updates, confirm receipt, and follow up on missing or pending materialsPrepare, organize, and route documentation for Team Leads and Attorneys handling negotiationsMonitor case status and flag coverage, liability, or timing concerns to the Team LeadMaintain complete case notes and communication logs in claims and recovery systemsSupport pod responsiveness standards and consistent health-plan client experiencePartner with Team Leads to identify file gaps and follow-ups prior to settlementTrack 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 preferredFamiliarity working with carriers, TPAs, and liability insurersStrong organizational skills and comfort handling high-volume claim filesExcellent written and verbal communicationProfessional, service-oriented approach with external stakeholdersAbility to prioritize requests in a fast-moving environmentDetail-oriented and accurate with documentationProactive and dependable—anticipates needs and keeps the team informedPrior 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 insurance401(k) retirement savings plan with employer matchPaid time off and paid holidaysCompany-paid life insurance and short-term and long-term disability coverageEmployee Assistance Program with counseling, financial coaching, legal resources, career coaching, and wellness supportHealth Savings Account with company contributions for eligible employeesWellness, healthcare advocacy, and pet benefitsA high-performing, collaborative culture built on ownership, accountability, continuous improvement, and meaningful impact