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Recovery Specialist Associate - Military Veterans

at Elevance Health

Recovery Specialist Associate (Recovery Specialist Assoc)

Location: Virtual with the ideal candidate living within 50 miles of our Indianapolis, IN, Waukesha, WI, Atlanda, GA or Louisville, KY Elevance Health PulsePoint locations.

Shift: Monday- Friday 10:30am - 7:00pm EST

A proud member of the Elevance Health family of companies, Carelon Subrogation, formerly Meridian Resource Company, is a health care cost containment company offering subrogation recovery services.

The Recovery Specialist Associate is responsible for identifying, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervision. Performs all authorized duties in the processing of overpayments allocated to the assigned market consistent with all applicable company and departmental policies.

How you will make an impact:

  • Effectively support the Subrogation Recovery Operations team.
  • Provides exceptional service to member, providers, group administrators and attorneys who are providing information on, or seeking information about third party/worker’s compensation subrogation files.
  • Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail.  For open cases, collects, records and verifies member information, pertinent accident details, attorney information and third-party liability information.  Records detailed and accurate file notes obtained from calls or written correspondence.
  • Manage high-volume intake calls and correspondence inventory effectively.
  • Determine membership eligibility using various job aids and membership systems. 
  • Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
  • Show initiative and resourcefulness in solving problems and meeting customer needs.
  • Develop relationships with other business units and service partners whose assistance, cooperation and support may be needed.
  • Adheres to company and department policies and procedures as well as HIPAA regulations.
  • Performs other duties as requested or assigned.

Minimum Requirements:

Requires H.S. diploma or GED preferred, a minimum 2 years of claims or data entry experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • Prior call center experience strongly preferred.
  • Medical claims processing experience preferred.
  • Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs preferred.
  • Excellent communications skills both oral and written preferred.
  • Prior health care experience preferred.
  • Strong problem-solving skills preferred.

 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

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.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

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, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Indianapolis, IN

Elevance Health

If you are active-duty military, reserve, or a military veteran, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Elevance Health — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time.

WE ARE HIRING

Elevance Health, Inc. is currently seeking military veterans and military spouses for a variety of open tech based roles.  Our immediate needs are in IT support, cyber security, maintenance of digital and automation systems, and network specialists. These roles include Support Technical Engineer, Lead Engineer, Developer, Systems Analyst, Network Data Specialist, and Provider Network Manager roles.  Whether you are looking to transition into an IT career or if you have experience under your belt in the Technology field, Elevance Health wants to have an impact on your career and professional growth by speaking with you about their career opportunities.

 

Employee Benefits:

Paid Time Off

Dental Insurance Plan

Medical Insurance Plan

Employee Assistance Program

Flexible Spending Account

Life Insurance

401(k) plan

Adoption Assistance

New Parent Transition Week

Parental Leave

Critical Caregiving Leave

Back-to-School Assistance

Sick Leave

What Happens After I Apply?

 

Once you click ‘Apply Now’ on an Elevance Health job posting, you will either be re-directed to fill out an application on Elevance Health's career page or be given a confirmation of submission.  If you get redirected, please complete the application on the career page and make sure you have an updated resume uploaded to your RecruitMilitary profile.  Once Elevance Health reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.

 

How to Prepare for an Interview

1.     Review the job description for the specific position you are applying for.

2.     Review the company website. Know their mission and values. What do they do? What are their products?

3.     Prepare a few questions to ask on your interview.

4.     Prepare to discuss your military or civilian background and how it relates to the position.

 

5.     Check out the RecruitMilitary Resources tab for resume guidance, interview prep and more!

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