Recovery Specialist

Overview

A remote position based in Wisconsin is available for a Recovery Specialist. This role involves identifying and researching third-party claims to recover overpayments, including claims related to workers’ compensation, no-fault, hospital liens, and other accident or liability matters.

Responsibilities

• Identify and research third-party claims to recover overpayments involving:
  • Workers’ compensation
  • No-fault
  • Hospital liens
  • Other accident or liability claims
• 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 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 all involved parties, placing them on 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; serve as a resource to the department.
• Review and meet ongoing competency requirements for the role to maintain required skills and knowledge.

Requirements

• Associate’s degree in business, legal, or healthcare-related field required; alternatively, three years’ applicable work experience may be accepted in lieu of education.
• Minimum of one year of work experience with one or more of the following:
  • 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

• Salary Range: $18.00 - $29.00
• Schedule: Full time (40.00 hours/week)
• Shift: 8 Hours - Day Shifts
• Benefits for qualifying full-time and part-time employees may include:
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • A 401(k) retirement plan
  • Work/life balance benefits
  • A generous time off package

Location

• Remote, WI (Remote WI)

Additional Information

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