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Subrogation Examiner

Location: Louisville, KY
JobFamily: Accounting/Finance/Auditing
Req #: PS73258
Date Posted: May 11, 2022

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Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team!

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Subrogation Examiner 
Locations: IN, KY, OH, WI

Build the possibilities. Make an extraordinary impact.
The Subrogation Examiner is responsible for researching and examining routine and moderately complex health claims that may be related to Third Party Liability, Workers' Compensation, and other subrogation/reimbursement recovery cases. 

How you will make an impact:
•    Initiates calls to groups, insurance companies, attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party. 
•    Responds to inquiries regarding information on injury claims. 
•    May assist with training of new associates. 
•    Utilizes various research methods and vendor systems to gather information. 
•    Works with subrogation staff, other departments, and outside clients regarding the recovery process. 
•    Prepares written communications. 
•    Reviews diagnostic and procedure codes to determine claims relevant to each case. 
•    Reviews internal systems/applications for various information needs. 
•    Assists with departmental and interdepartmental special projects. 
•    May assist with small dollar case negotiations. 

Qualifications

Subrogation Examiner 
Locations: IN, KY, OH, WI

Primary requirements:

  • Requires a minimum of 1year of inbound or outbound call experience
  • Any combination of education and experience, which would provide an equivalent background

Preferred requirements:

  • BA/BS degree is preferred.

 

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.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem 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 [email protected] for assistance.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.