Anthem Subrogation Analyst Sr. - Nationwide (Office Based or Remote) - PS2419 in Scranton, Pennsylvania
Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination. It’s 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.
Location: Can be located anywhere in the US (office or remote)
Preferred Location: The preferred location is at 1330 Amerigroup Way Virginia Beach, VA, if you are within 35 miles of the office, you will be required to work in office.
_Subrogation Analyst Sr._ Responsible for handling the most complex healthcare subrogation matters, including Third Party Liability, Workers Compensation and other 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 Identify, monitor and evaluate claim data to determine reimbursement amounts. * Answer inquiries from other departments, insurance adjusters, attorneys and members. * 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. * May include train and mentor other subrogation staff.
_Requirements_ * Requires 4 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. * BA/BS degree or Legal Assistant certificate is preferred.
Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Subrogation Analyst Sr. - Nationwide (Office Based or Remote) - PS2419
Other Locations: VA-Virginia Beach
Requisition ID: PS2419