Financial Operations Recovery Specialist III

About the role

This role enables associates to work virtually full‑time, except for required in‑person training sessions, providing maximum flexibility and autonomy. Alternate locations may be considered if candidates reside within a commuting distance from an office; candidates not within a reasonable commuting distance will not be considered unless an accommodation is granted as required by law.

Responsibilities

• Discovery, validation, recovery, and adjustments of claims overpayments.
• Audits paid claims for overpayments using systems‑based queries, specialized reporting, or other research.
• Interacts with staff and management from other departments regularly to ensure customer satisfaction.
• May work with recovery and collection vendors to validate overpayments, validate vendor invoices, and provide feedback to modify queries when needed.
• Works closely with contract managers to identify and correct contractual issues, if applicable.
• Handles complex case research and resolution.
• May perform collection activities to ensure recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required.
• May review and monitor associates’ work for quality standards.
• May review department policy and procedure manuals for accuracy and works to ensure procedures and policies are accurate and complete.
• Assists in special projects to find and prevent overpayments and to identify process improvements.
• Completes special projects as assigned with minimal supervision.
• Researches voluntary refunds for accuracy.
• Requires accurate balancing of all accounts.

Requirements

High school diploma or equivalent and a minimum of 4 years of claims processing and/or customer service experience; or any combination of education and experience that provides an equivalent background.

Skills

• AA/AS or higher level degree preferred.
• Proven experience in Claims Recovery.
• Knowledge of WGSCIWITS.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid Time Off (PTO).
• Incentive bonus programs.
• Medical, dental, vision coverage.
• Short‑ and long‑term disability benefits.
• 401(k) match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

Pay

Salary range for this position: $25.00 to $37.50 per hour (for candidates working in Columbus, OH, and Virginia). Actual compensation is based on legitimate, non‑discriminatory factors such as geographic location, work experience, education, and skill level.

Schedule

Virtual full‑time position, with required in‑person training sessions as needed.