Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and
together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Subrogation Analyst- PS7822
The Subrogation Analyst is responsible for handling complex Third Party Liability, Workers' Compensation and other healthcare recovery cases.
Primary duties may include, but are not limited to:
Reviews and evaluates accident or incident reports, individual claims, medical, legal or other documents relating to subrogation.
Responds to inquiries regarding claim recovery issues.
Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts.
Analyze, interpret and apply 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.