Subrogation Analyst

Location: Virtual. This role enables associates to work virtually full-time, with the exception of required in-person training sessions. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

About the Role

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. The Subrogation Analyst is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' Compensation, and other subrogation/reimbursement recovery cases.

Responsibilities

• Reviews and evaluates accident or incident reports, individual claims, medical, legal, or other documents relating to subrogation.
• Responds to inquiries regarding claim recovery issues.
• Identifies, monitors, and evaluates claim data to determine relatedness and reimbursement amounts.
• Analyzes, interprets, and applies plan language, contracts, case law, and various statutes or regulations.
• Prepares and maintains case files, correspondence, legal documents, and other information related to subrogation claims.
• Coordinates actions involving accounting for payments received.
• Evaluates and negotiates settlements of subrogation claims of all dollar amounts within a prescribed level of authority.

Requirements

• Minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background.

Preferred Qualifications

• BA/BS degree or Legal Assistant certificate is preferred.

Schedule

Monday - Friday; 8:30am-5:00pm Eastern Time

Benefits

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long-term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs, and financial education resources, to name a few.

About the Company

Elevance Health is a health company dedicated to improving lives and communities—and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture designed to advance our strategy and lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture and drive our shared success—for our consumers, associates, communities, and business.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, with specific requirements discussed during the hiring process.