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Subrogation Examiner - Pewaukee, WI or OH, IN, KY - PS22968 at Anthem, Inc.

Posted in Finance 23 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 Examiner

Responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' Compensation and other subrogation/reimbursement recovery cases. 

Primary duties may include, but are not limited to: 


  • 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. 

Qualifications


  • Requires a minimum of 1 year telephone inquiry experience; 

  • Or any combination of education and experience, which would provide an equivalent background. 

  • BA/BS degree 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.