Subrogation Analyst

Subrogation Analyst  Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health. Schedule: Monday - Friday; 8:30am-5:00pm Eastern Time The Subrogation Analyst  is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' Compensation and other subrogation/reimbursement recovery cases. How you will make an impact: 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.

Requires minimum of 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.   Preferred Skills, Capabilities, and Experiences: BA/BS degree or Legal Assistant certificate is preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: AFA > Financial Operations Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus