Job Details

Healthcare Recovery Investigator

Company name

Optum, Inc.

Organization Type

In-House

Job Type

Legal Staff

Years of Experience

Min 1 yrs required

Location

Eden Prairie, MN

Date Last Verified

Apr 20,2018

Posted on

Mar 19,2018
Practice Area
Health Care >> Health Care
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Healthcare Recovery Investigator The candidate will handle a steady volume of new referrals daily. Will understand concepts of coverage, policy interpretation and liability determination to analyze and move claims towards resolutions. Research applicability of laws, regulations and other requirements to cases. Ensure compliance with Health Insurance Portability and Accountability Act. Validate claim liability, adjuster's contact information, claim status, availability of coverage and accident - related injuries. Focus will be on speed and quality of contacts, investigations and evaluations. Research and analyze information gathered through investigation. Thoroughly document all written and verbal communications. Assist with training and mentoring for other Subrogation staff as needed. Must have a High School Diploma / GED (or higher). Should have 1+ years of alpha-numeric data entry experience. Associate's Degree (or higher) in Paralegal Studies or in a Business-related area is a plus. Understanding of subrogation principles, health insurance and / or P&C insurance is preferred. Should preferably have knowledge of local, state and federal laws and regulations pertaining to insurance. Ability to create and edit letters with Microsoft Word is a plus. Ability to create and modify spreadsheets Microsoft Excel is preferred.

Company info

Hiring Coordinator
Optum, Inc.
13625 Technology Drive
Eden Prairie, MN 55344

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