Case Development Specialist - Health Insurance Plan Recovery
Intellivo
Creve Coeur, United States
$42,000-$49,000 py
Healthcare claims review
Identify reimbursement opportunities
Manual screening of data
Reviews inbound referrals and manually screens claims data to identify potential reimbursement and subrogation opportunities for Intellivo’s clients
Job Summary
Reviews inbound referrals and manually screens claims data to identify potential reimbursement and subrogation opportunities for Intellivo’s clients.
Analyzes medical claims, property & casualty (P&C) referrals, and related documentation to determine recovery potential, clarify facts, and accurately create cases in internal systems.
Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers.
Matching Summary
Reviews inbound referrals and manually screens claims data to identify potential reimbursement and subrogation opportunities for Intellivo’s clients.
Salary
$42,000-$49,000
Skills & Requirements
Must-have
Healthcare claims review
Identify reimbursement opportunities
Manual screening of data
Case setup and data entry
Information gathering and coordination
Nice-to-have
Investigative review
Accuracy-driven work
High-impact decision-making
Collaborative team environment
Key Requirements
1-3 years experience
Associate's or Bachelor's degree preferred
Familiarity with healthcare claims, P&C data, TPL, or subrogation a plus