Overpayment Recovery Analyst – Employee Benefits

Responsibilities

• Overpayment Identification and Analysis (30%)
• Utilize data science tools to detect discrepancies and proactively seek out overpayment recovery opportunities.
• Collaborate with internal claim partners to coordinate additional investigations as needed.
• Develop and implement strategies for recovering overpaid amounts from clients, vendors, and other parties.
• Negotiate repayment plans and settlements, ensuring compliance with company policies and legal requirements.
• Effectively manage a high-volume case load and maintain timely follow up communication to ensure accurate resolution.
• Demonstrate critical thinking in managing customer expectations and navigating complex negotiations to achieve favorable outcomes.

Qualifications

• Understanding of Group Benefits claims and the leading indicators of an overpayment preferred.
• Proficiency in Group Benefits claim systems including DCS, THAA and PeopleSoft is preferred.
• Candidate should demonstrate the ability to exceed metrics and be motivated to achieve high personal achievement.
• Able to build successful relationships with our field partners and claimants.
• Ability to work in a fast-paced environment with a proven track record of delivering results.
• Excellent interpersonal skills and professional writing skills to clearly communicate and negotiate with claimants and attorneys in a professional demeanor.
• High School diploma/GED, Bachelor’s degree or equivalent experience is strongly preferred.
• 2+ years of prior claim or collections experience.