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Subrogation Analyst - Waukesha...


Job Summary

Pewaukee, WI
Other/Not Classified
Job Type
Full Time
Career Level
Experienced (Non-Manager)
Job Reference Code

Subrogation Analyst - Waukesha, WI - PS3730

About the Job

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.

The Subrogation Analyst is responsible for handling complex Third Party Liability, Worker's 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.
  • Requires 2 years of experience in Third Party Liability or Worker's 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.
  • Strong computer skills preferred.
  • Knowledge of medical claims review preferred.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.


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