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Subrogation Analyst - Pewaukee, WI or OH, IN, KY - PS22831 at Anthem, Inc.

Posted in Finance 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: PEWAUKEE, Wisconsin





Job Description:

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.

Your Talent. Our Vision. At Meridian Resource Company, a diversified health care cost containment firm and a wholly owned subsidiary of Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to 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.  

Subrogation Analyst

Responsible for handling complex Third Party Liability, Workers' Compensation and other healthcare 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.  

  • Responds to inquiries regarding claim recovery issues. 

  • Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts. 

  • 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.  

Qualifications


  • Requires 2 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.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.