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Subrogation Examiner - WI, IN,...


Job Summary

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

Subrogation Examiner - WI, IN, KY & OH - PS4411

About the Job


Your Talent. Our Vision. At 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.

Subrogation Examiner

Locations: WI, IN, KY & OH

Responsible for researching and examining routine and moderately complex 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. May assist with training of new associates.

Utilizes various research methods and vendor systems to gather information. Works with subrogation staff, other departments and outside clients regarding 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 departmental and interdepartmental special projects.

May assist with small dollar case negotiations.


Requires 1 years of experience in Workers' Compensation and/or Third Party Liability recoveries or related field;

or any combination of education and/or 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 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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