Recovery Specialist

Overview

The organization is seeking a Recovery Specialist responsible for identifying and researching third-party claims and pursuing recovery of overpayments.

• Facility/Workplace: Remote, WI
• Schedule: Full time
• Weekly Hours: 40.00
• Shift: 8 Hours - Day Shifts
• Compensation Range: $18.00 - $29.00

Responsibilities

• Identify and research third-party claims involving workers compensation, no-fault, hospital liens, and other accident or liability claim types.
• Identify legal liability and pursue, negotiate, and settle subrogation, liens, and reimbursement recoveries.
• Apply applicable laws, regulations, and policy language to achieve recoveries according to required mandates.
• Negotiate lien settlements with attorneys and other responsible representatives to obtain maximum recovery.
• Assist with response to Summons and Complaint and interrogatories from attorneys when suit has been commenced.
• Communicate legal rights to involved parties and provide notice of lien.
• Review medical charges to identify relatedness.
• Maintain detailed recovery records to ensure case facts are accurate.
• Maintain a high level of technical skill and knowledge of recovery processes to serve as a resource to the department.
• Review and meet ongoing competency requirements for the role.

Requirements

• Associates degree in business, legal, or healthcare related field required.
• In lieu of education, leadership may accept three years’ applicable work experience.
• Minimum of one year work experience with:
  • coding
  • insurance processes
  • liability
  • subrogation
  • coordination of benefits
  • workers’ compensation claim adjudication

Preferred Qualifications

• CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals)

Compensation & Benefits

This role offers a benefits package for qualifying full-time and part-time employees. Depending on eligibility, benefits may include:

• Health, dental, and vision insurance
• Life insurance
• A 401(k) retirement plan
• Work/life balance benefits
• A generous time off package

Location

• Remote, WI

Additional Information

• Req Number: R-0277991
• Job Function: Legal and Compliance
• EEO Statement: EEO/AA Employer M/F/Disability/Vet.
• Workplace Policy: Drug Free Workplace Policy; accepted offer requires a drug screen and pre-employment background screening as a condition of employment.