Subrogation Examiner

Elevance Health • Louisville, KY • 19h ago

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, 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.

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.

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

The Subrogation Examiner 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.

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.

Utilizes various research methods and vendor systems to gather information.

Works with subrogation staff, other departments and outside clients to assist with 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 small scale special projects.

Minimum Requirements:

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

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.

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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Similar Jobs

(USA) Operations Manager

Walmart • Louisville, KY • 12min ago

Management & Administrative

Position Summary... What you'll do... Initiates directs and participates in community outreach programs by encouraging and supporting associates and managers in serving as goodmembers of the community establishing and ma...

12min ago

Go to Apply

Senior Electrical Engineer

SFCS Inc. • Louisville, KY • 6h ago

IT & Engineering

SENIOR ELECTRICAL ENGINEER As a collaborative and innovative center of design excellence, SFCS is dedicated to defining the next generation of Living, Learning and Healing Environments. Our family-oriented culture aims t...

6h ago

Go to Apply

Outside Sales Coordinator

Carter Lumber • Louisville, KY • 6h ago

Sales & Marketing

Outside Sales Coordinator Louisville, KY Full Time Sales Experienced Share ( https://clumber.applytojob.com/app/share/RHySztletF ) A Carter Lumber Outside Sales Coordinator is responsible for leading a team of Sales Coor...

6h ago

Go to Apply

Sales Representative

Performance Food Group • Louisville, KY • 6h ago

Sales & Marketing

136876BR Job Title: Sales Representative Location: CM Leitchfield, KY (2584) Job Description: We Deliver the Goods: Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Pl...

6h ago

Go to Apply

Sales Associate

LUXOTTICA OF AMERICA INC • Louisville, KY • 6h ago

Sales & Marketing

Requisition ID:912687 Store #:002100 Sunglass Hut Position:Casual Part-Time Total Rewards:Benefits/Incentive InformationAt Sunglass Hut, we're always in the sun. You'll find a dynamic space with endless possibilities to...

6h ago

Go to Apply

Electrical Substation Equipment Technician

Schweitzer Engineering Laboratories, Inc. • Louisville, KY • 6h ago

Hospital & Medical

Essential Duties and Responsibilities1. Train and assist customers in the planning, design, testing, installation, commissioning, operation, and maintenance of electrical power systems, both at customer sites and SEL off...

6h ago

Go to Apply

Entry-level Lube Tech/Technician

Valvoline • Shepherdsville, KY • 11h ago

Retail & Hospitality

ALL ROADS LEAD TO THIS OPPORTUNITY The journey to Valvoline Instant Oil Change (VIOC) is different for everyone. Our employees are students, recent grads, parents, veterans, career changers-who have all found their way t...

11h ago

Go to Apply

Customer Service Associate

Walgreens • Clarksville, IN • 11h ago

Management & Administrative

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Custome...

11h ago

Go to Apply

Material Handler

Kelly Services • Shepherdsville, KY • 11h ago

Manufacturing & Warehouse

Kelly® Professional & Industrial is excited to help put your career in motion with this great new opportunity! Our client, Johnson & Johnson , is hiring Entry-Level Material Handlers in Shepherdsville, KY . Sound...

11h ago

Go to Apply

Service Desk Technician

TEKsystems • Louisville, KY • 11h ago

Management & Administrative

Service Desk Technician On-Site Position Overview TEKsystems is in need of a Service Desk Technician to support a fast-paced operations environment. This role focuses on delivering a positive customer experience by handl...

11h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.