Sr. Claim Recovery Specialist
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. We have content: description of role, tasks, essential duties, experience and qualifications, working conditions, base salary. No explicit benefits, schedule. So we can have sections: About the role (maybe from intro), Responsibilities (tasks and essential duties), Requirements/Qualifications (experience and qualifications), Skills (maybe from abilities), Pay (base salary). We should not repeat job title. No Job ID. Remove boilerplate like EEO etc. We have none.
We need to preserve all substantive info. Use - for any list of duties/requirements/benefits. Use
for prose.
We need to decide what goes where.
Let's parse content:
Intro: "The Phia Group provides, amongst other things, claim recovery services for health benefit plans. When a health benefit plan pays medical bills, and we later discover someone else should have paid those medical bills, The Phia Group – on behalf of the health plan – will seek to recover the funds. The Senior Claims Recovery Specialist plays an important role in this effort, by determining whether another proper payer exists, and pursuing fund reimbursement."
That's about the role.
Then "Tasks Include:" list: Handling files for the Recovery Department. Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (i.e. auto insurance, workers compensation, first party coverage, third party coverage, etc.). Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email. Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department.
Then "At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only exceptional benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2026. Meanwhile, from a regional perspective, The Boston Globe, Courier Journal, and Louisville Business First annually recognize our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work."
That's benefits/culture but not specific benefits like health insurance etc. It mentions exceptional benefits but not details. We should not create Benefits section unless posting actually states them. It says "exceptional benefits for yourself" but not specifics. Probably we should not create Benefits section because no concrete benefits listed. So skip.
Then "Essential Duties And Responsibilities" list: Calling adjusters and attorneys for status; Negotiating with attorneys; Being familiar with different case laws (with use of passionforsubro.com); Drafting, mailing & faxing correspondence; Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address); Providing clients with accident details, reduction requests, etc…; Reviewing plan documents for possible exclusions; Acting as the CH’s out of office (checking voicemail messages and emails); Will be responsible for consistency and accuracy on time-sensitive documents.; Managing a large case load; Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents.
Then "Experience And Qualifications": Associates degree or higher preferred; 1-3 years of Subrogation/Reimbursement experience; Must pass applicable test(s) administered by department manager (including the applicable qualification cards).; Strong decision making abilities to determine recovery potential and proper reimbursement.; Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).; Must have ability to define problems, collect data, establish facts, and draw valid conclusions.; Ability to read, write and speak the English Language.; Bilingual (preferred but not required).; Paralegal Certificate (preferred but not required).
Then "Working Conditions / Physical Demands": Sitting at workstation for prolong periods of time.; Extensive computer work.; Workstation may be exposed to overhead fluorescent lighting and air conditioning.; Fast paced work environment.; Operates office equipment including personal computer, copiers, and fax machines.; Then a disclaimer about not all-inclusive list etc. That's boilerplate? Might be considered generic but we can keep as part of description? It's not a list of duties/requirements but it's working conditions. Could be a section but we don't have a heading for Working Conditions in allowed list. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We could put working conditions under Responsibilities or Requirements? Probably not. Better to omit as it's generic? But we must preserve ALL substantive information; we cannot drop substantive info. Working conditions is substantive. However we don't have a heading for it. Could we incorporate into Responsibilities? Not ideal. Could we create a section "Working Conditions" but not allowed per instruction? Instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., implying those are examples but we should use those headings. It says "Use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect only those headings. So we must map content to those headings. Working conditions could go under Responsibilities? Or maybe under Requirements? Not ideal but we can include as a paragraph under Responsibilities.
Similarly, the disclaimer about not all-inclusive list is boilerplate; we can drop as it's generic legal. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. That disclaimer might be considered legal boilerplate; we can drop.
Thus we will produce sections:
About the role
with paragraph(s) describing the Phia Group and role.
Responsibilities
with - list combining Tasks Include and Essential Duties And Responsibilities.
Requirements
maybe for education/experience? Or Qualifications
for experience and qualifications. We need both Requirements and Qualifications sections if we have content. We have "Experience And Qualifications". Could split: Requirements (education, experience) and Qualifications (skills, abilities). But we also have Skills section for abilities like decision making, problem solving, communication, bilingual, etc. Let's map:
- Requirements: Associates degree or higher preferred; 1-3 years of Subrogation/Reimbursement experience; Must pass applicable test(s) administered by department manager (including the applicable qualification cards).
- Qualifications: Strong decision making abilities to determine recovery potential and proper reimbursement.; Maintain confidentiality and comply with HIPAA.; Must have ability to define problems, collect data, establish facts, and draw valid conclusions.; Ability to read, write and speak the English Language.; Bilingual (preferred but not required).; Paralegal Certificate (preferred but not required).
- Skills: Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents. (maybe also communication skills). Could also include "Communicating with attorneys, adjusters and plan participants" etc but that's duty.
We could also put "Using MS Word, Excel, Microsoft Outlook and other programs" under Skills.
Pay: Base Salary: $50,000 - $65,000.
Schedule: none.
Benefits: none specific.
Thus output HTML fragment with those sections.
Make sure to not repeat job title. No extra headings.
Let's craft.
About the role paragraph: combine intro sentences.
Responsibilities list: combine tasks and essential duties.
We need to ensure we don't duplicate similar items. We'll list each distinct duty.
List items:
- Handling files for the Recovery Department.
- Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (e.g., auto insurance, workers compensation, first party coverage, third party coverage).
- Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
- Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department.
- Calling adjusters and attorneys for status.
- Negotiating with attorneys.
- Being familiar with different case laws (with use of passionforsubro.com).
- Drafting, mailing & faxing correspondence.
- Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address).
- Providing clients with accident details, reduction requests, etc.
- Reviewing plan documents for possible exclusions.
- Acting as the CH’s out of office (checking voicemail messages and emails).
- Ensuring consistency and accuracy on time-sensitive documents.
- Managing a large case load.
- Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents.
We might have duplicated "Communicating with attorneys..." etc. Keep.
Now Requirements list:
- Associates degree or higher preferred.
- 1-3 years of Subrogation/Reimbursement experience.
- Must pass applicable test(s) administered by department manager (including the applicable qualification cards).
Qualifications list:
- Strong decision making abilities to determine recovery potential and proper reimbursement.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to read, write and speak the English Language.
- Bilingual (preferred but not required).
- Paralegal Certificate (preferred but not required).
Skills list:
- Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents.
But we already have that in responsibilities; maybe we should not duplicate. Could move to Skills and remove from responsibilities. However responsibilities already includes that item; we could keep it there and not have Skills section. But we need to decide if we want Skills section. The instruction: prefer a few substantive sections over many thin ones. We have About the role, Responsibilities, Requirements, Qualifications, Pay. That's five sections. That's fine. Skills could be merged into Qualifications or Responsibilities. Let's merge Skills into Qualifications (as it's a skill). So we add "Proficient with MS Word, Excel, Microsoft Outlook and other programs for correspondence and document preparation." to Qualifications.
Thus Qualifications list includes that.
Now Pay section: Base Salary: $50,000 - $65,000
Now ensure we don't include any filler like "commensurate with experience". Not present.
Now output HTML.
Let's craft:
About the role
The Phia Group provides claim recovery services for health benefit plans. When a health benefit plan pays medical bills and another party should have paid those bills, The Phia Group – on behalf of the health plan – seeks to recover the funds. The Senior Claims Recovery Specialist determines whether another proper payer exists and pursues fund reimbursement.
Responsibilities
- Handling files for the Recovery Department.
- Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (e.g., auto insurance, workers compensation, first party coverage, third party coverage).
- Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
- Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department.
- Calling adjusters and attorneys for status.
- Negotiating with attorneys.
- Being familiar with different case laws (with use of passionforsubro.com).
- Drafting, mailing & faxing correspondence.
- Calling insurance carriers for claim
for prose. We need to decide what goes where. Let's parse content: Intro: "The Phia Group provides, amongst other things, claim recovery services for health benefit plans. When a health benefit plan pays medical bills, and we later discover someone else should have paid those medical bills, The Phia Group – on behalf of the health plan – will seek to recover the funds. The Senior Claims Recovery Specialist plays an important role in this effort, by determining whether another proper payer exists, and pursuing fund reimbursement." That's about the role. Then "Tasks Include:" list: Handling files for the Recovery Department. Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (i.e. auto insurance, workers compensation, first party coverage, third party coverage, etc.). Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email. Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department. Then "At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only exceptional benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2026. Meanwhile, from a regional perspective, The Boston Globe, Courier Journal, and Louisville Business First annually recognize our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work." That's benefits/culture but not specific benefits like health insurance etc. It mentions exceptional benefits but not details. We should not create Benefits section unless posting actually states them. It says "exceptional benefits for yourself" but not specifics. Probably we should not create Benefits section because no concrete benefits listed. So skip. Then "Essential Duties And Responsibilities" list: Calling adjusters and attorneys for status; Negotiating with attorneys; Being familiar with different case laws (with use of passionforsubro.com); Drafting, mailing & faxing correspondence; Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address); Providing clients with accident details, reduction requests, etc…; Reviewing plan documents for possible exclusions; Acting as the CH’s out of office (checking voicemail messages and emails); Will be responsible for consistency and accuracy on time-sensitive documents.; Managing a large case load; Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents. Then "Experience And Qualifications": Associates degree or higher preferred; 1-3 years of Subrogation/Reimbursement experience; Must pass applicable test(s) administered by department manager (including the applicable qualification cards).; Strong decision making abilities to determine recovery potential and proper reimbursement.; Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).; Must have ability to define problems, collect data, establish facts, and draw valid conclusions.; Ability to read, write and speak the English Language.; Bilingual (preferred but not required).; Paralegal Certificate (preferred but not required). Then "Working Conditions / Physical Demands": Sitting at workstation for prolong periods of time.; Extensive computer work.; Workstation may be exposed to overhead fluorescent lighting and air conditioning.; Fast paced work environment.; Operates office equipment including personal computer, copiers, and fax machines.; Then a disclaimer about not all-inclusive list etc. That's boilerplate? Might be considered generic but we can keep as part of description? It's not a list of duties/requirements but it's working conditions. Could be a section but we don't have a heading for Working Conditions in allowed list. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We could put working conditions under Responsibilities or Requirements? Probably not. Better to omit as it's generic? But we must preserve ALL substantive information; we cannot drop substantive info. Working conditions is substantive. However we don't have a heading for it. Could we incorporate into Responsibilities? Not ideal. Could we create a section "Working Conditions" but not allowed per instruction? Instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., implying those are examples but we should use those headings. It says "Use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect only those headings. So we must map content to those headings. Working conditions could go under Responsibilities? Or maybe under Requirements? Not ideal but we can include as a paragraph under Responsibilities.
Similarly, the disclaimer about not all-inclusive list is boilerplate; we can drop as it's generic legal. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. That disclaimer might be considered legal boilerplate; we can drop.
Thus we will produce sections:
About the role
with paragraph(s) describing the Phia Group and role.
Responsibilities
with - list combining Tasks Include and Essential Duties And Responsibilities.
Requirements
maybe for education/experience? Or Qualifications
for experience and qualifications. We need both Requirements and Qualifications sections if we have content. We have "Experience And Qualifications". Could split: Requirements (education, experience) and Qualifications (skills, abilities). But we also have Skills section for abilities like decision making, problem solving, communication, bilingual, etc. Let's map:
- Requirements: Associates degree or higher preferred; 1-3 years of Subrogation/Reimbursement experience; Must pass applicable test(s) administered by department manager (including the applicable qualification cards).
- Qualifications: Strong decision making abilities to determine recovery potential and proper reimbursement.; Maintain confidentiality and comply with HIPAA.; Must have ability to define problems, collect data, establish facts, and draw valid conclusions.; Ability to read, write and speak the English Language.; Bilingual (preferred but not required).; Paralegal Certificate (preferred but not required).
- Skills: Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents. (maybe also communication skills). Could also include "Communicating with attorneys, adjusters and plan participants" etc but that's duty.
We could also put "Using MS Word, Excel, Microsoft Outlook and other programs" under Skills.
Pay: Base Salary: $50,000 - $65,000.
Schedule: none.
Benefits: none specific.
Thus output HTML fragment with those sections.
Make sure to not repeat job title. No extra headings.
Let's craft.
About the role paragraph: combine intro sentences.
Responsibilities list: combine tasks and essential duties.
We need to ensure we don't duplicate similar items. We'll list each distinct duty.
List items:
- Handling files for the Recovery Department.
- Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (e.g., auto insurance, workers compensation, first party coverage, third party coverage).
- Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
- Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department.
- Calling adjusters and attorneys for status.
- Negotiating with attorneys.
- Being familiar with different case laws (with use of passionforsubro.com).
- Drafting, mailing & faxing correspondence.
- Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address).
- Providing clients with accident details, reduction requests, etc.
- Reviewing plan documents for possible exclusions.
- Acting as the CH’s out of office (checking voicemail messages and emails).
- Ensuring consistency and accuracy on time-sensitive documents.
- Managing a large case load.
- Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents.
We might have duplicated "Communicating with attorneys..." etc. Keep.
Now Requirements list:
- Associates degree or higher preferred.
- 1-3 years of Subrogation/Reimbursement experience.
- Must pass applicable test(s) administered by department manager (including the applicable qualification cards).
Qualifications list:
- Strong decision making abilities to determine recovery potential and proper reimbursement.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to read, write and speak the English Language.
- Bilingual (preferred but not required).
- Paralegal Certificate (preferred but not required).
Skills list:
- Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents.
But we already have that in responsibilities; maybe we should not duplicate. Could move to Skills and remove from responsibilities. However responsibilities already includes that item; we could keep it there and not have Skills section. But we need to decide if we want Skills section. The instruction: prefer a few substantive sections over many thin ones. We have About the role, Responsibilities, Requirements, Qualifications, Pay. That's five sections. That's fine. Skills could be merged into Qualifications or Responsibilities. Let's merge Skills into Qualifications (as it's a skill). So we add "Proficient with MS Word, Excel, Microsoft Outlook and other programs for correspondence and document preparation." to Qualifications.
Thus Qualifications list includes that.
Now Pay section: Base Salary: $50,000 - $65,000
Now ensure we don't include any filler like "commensurate with experience". Not present.
Now output HTML.
Let's craft:
About the role
The Phia Group provides claim recovery services for health benefit plans. When a health benefit plan pays medical bills and another party should have paid those bills, The Phia Group – on behalf of the health plan – seeks to recover the funds. The Senior Claims Recovery Specialist determines whether another proper payer exists and pursues fund reimbursement.
Responsibilities
- Handling files for the Recovery Department.
- Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (e.g., auto insurance, workers compensation, first party coverage, third party coverage).
- Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
- Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department.
- Calling adjusters and attorneys for status.
- Negotiating with attorneys.
- Being familiar with different case laws (with use of passionforsubro.com).
- Drafting, mailing & faxing correspondence.
- Calling insurance carriers for claim
About the role
with paragraph(s) describing the Phia Group and role.Responsibilities
with- list combining Tasks Include and Essential Duties And Responsibilities.
Requirements
maybe for education/experience? OrQualifications
for experience and qualifications. We need both Requirements and Qualifications sections if we have content. We have "Experience And Qualifications". Could split: Requirements (education, experience) and Qualifications (skills, abilities). But we also have Skills section for abilities like decision making, problem solving, communication, bilingual, etc. Let's map: - Requirements: Associates degree or higher preferred; 1-3 years of Subrogation/Reimbursement experience; Must pass applicable test(s) administered by department manager (including the applicable qualification cards). - Qualifications: Strong decision making abilities to determine recovery potential and proper reimbursement.; Maintain confidentiality and comply with HIPAA.; Must have ability to define problems, collect data, establish facts, and draw valid conclusions.; Ability to read, write and speak the English Language.; Bilingual (preferred but not required).; Paralegal Certificate (preferred but not required). - Skills: Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents. (maybe also communication skills). Could also include "Communicating with attorneys, adjusters and plan participants" etc but that's duty. We could also put "Using MS Word, Excel, Microsoft Outlook and other programs" under Skills. Pay: Base Salary: $50,000 - $65,000. Schedule: none. Benefits: none specific. Thus output HTML fragment with those sections. Make sure to not repeat job title. No extra headings. Let's craft. About the role paragraph: combine intro sentences. Responsibilities list: combine tasks and essential duties. We need to ensure we don't duplicate similar items. We'll list each distinct duty. List items: - Handling files for the Recovery Department. - Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (e.g., auto insurance, workers compensation, first party coverage, third party coverage). - Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email. - Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department. - Calling adjusters and attorneys for status. - Negotiating with attorneys. - Being familiar with different case laws (with use of passionforsubro.com). - Drafting, mailing & faxing correspondence. - Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address). - Providing clients with accident details, reduction requests, etc. - Reviewing plan documents for possible exclusions. - Acting as the CH’s out of office (checking voicemail messages and emails). - Ensuring consistency and accuracy on time-sensitive documents. - Managing a large case load. - Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents. We might have duplicated "Communicating with attorneys..." etc. Keep. Now Requirements list: - Associates degree or higher preferred. - 1-3 years of Subrogation/Reimbursement experience. - Must pass applicable test(s) administered by department manager (including the applicable qualification cards). Qualifications list: - Strong decision making abilities to determine recovery potential and proper reimbursement. - Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). - Ability to define problems, collect data, establish facts, and draw valid conclusions. - Ability to read, write and speak the English Language. - Bilingual (preferred but not required). - Paralegal Certificate (preferred but not required). Skills list: - Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents. But we already have that in responsibilities; maybe we should not duplicate. Could move to Skills and remove from responsibilities. However responsibilities already includes that item; we could keep it there and not have Skills section. But we need to decide if we want Skills section. The instruction: prefer a few substantive sections over many thin ones. We have About the role, Responsibilities, Requirements, Qualifications, Pay. That's five sections. That's fine. Skills could be merged into Qualifications or Responsibilities. Let's merge Skills into Qualifications (as it's a skill). So we add "Proficient with MS Word, Excel, Microsoft Outlook and other programs for correspondence and document preparation." to Qualifications. Thus Qualifications list includes that. Now Pay section:Base Salary: $50,000 - $65,000
Now ensure we don't include any filler like "commensurate with experience". Not present. Now output HTML. Let's craft:About the role
The Phia Group provides claim recovery services for health benefit plans. When a health benefit plan pays medical bills and another party should have paid those bills, The Phia Group – on behalf of the health plan – seeks to recover the funds. The Senior Claims Recovery Specialist determines whether another proper payer exists and pursues fund reimbursement.
Responsibilities
- Handling files for the Recovery Department.
- Communicating with attorneys, adjusters and plan participants (insured participants) to determine potential sources of recovery (e.g., auto insurance, workers compensation, first party coverage, third party coverage).
- Communicating with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
- Performing additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department.
- Calling adjusters and attorneys for status.
- Negotiating with attorneys.
- Being familiar with different case laws (with use of passionforsubro.com).
- Drafting, mailing & faxing correspondence.
- Calling insurance carriers for claim