, Nevada

Description

SHIFT: Day Job

SCHEDULE: Full-time

Recovery Specialist II

*** $1,000 Sign-On Bonus ***
Days
Location: Cerritos, CA


The Recovery Specialist II is responsible for pursuing claims overpayments or reimbursements from other parties who may be liable for payment of claims. This level handles more complex issues, such as auditing and adjusting claims, COB, Medicare, Worker's Compensation, or subrogation. 
Essential duties include but are not limited to: 
•    Determines reason for overpayment or other party liability. 
•    Calculates amount of overpayment. 
•    Issues refund request letters or lien notices. 
•    Responds to rebuttals and corresponds with involved parties.
•    Adjusts claims as required based on refund. Performs other duties as assigned.

 

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

Qualifications

Qualifications:

Requires high school diploma or equivalent and 4 years related experience in operations.
Must have knowledge of relevant claims systems and related software and good PC skills . Requires strong problem-solving and oral and written communication skills.

Must have medical claims experience

 

 

, Nevada

If you’re a reserve or veteran member of the military, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Anthem — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time. 

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military 

WE ARE HIRING

Anthem, Inc. is currently seeking military veterans and military spouses with operations experience.  Whether your experience is hands-on as an operational specialist or in operational leadership, Anthem wants to have an impact on your career and professional growth by speaking with you about their career opportunities.

If you are interested in learning more, check out Anthem's current open positions to the right for more information and to apply today!

Not sure where to start?  Send RecruitMilitary Success Manager, Taylor Groves, your questions at taylor.groves@recruitmilitary.com 

 

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