[Hiring] Recovery Specialist @Katch

Role Description

The Recovery Specialist is responsible for recovering medical payments when another party is responsible, handling complex injury cases including attorney-represented and litigated matters.

• Investigate, evaluate, and negotiate healthcare subrogation matters
• Understand and apply Medicare, Medicaid, ERISA, and related laws
• Research and interpret laws and regulations
• Conduct outbound calls and communicate with attorneys and insurers
• Document communications and maintain case activity records
• Ensure HIPAA compliance
• Participate in case reviews and strategy discussions
• Mentor other team members in subrogation skills

Qualifications

• High School Diploma or GED
• Understanding of subrogation principles and health/P&C insurance
• Strong negotiation skills
• Ability to evaluate complex claims, apply judgment, and negotiate recoveries or settlements with limited supervision
• Excellent organizational and communication skills
• Proficiency with Microsoft Office, particularly Excel, Word, Outlook, and Teams
• Experience interpreting claims, insurance information, account data, plan provisions, or supporting documentation
• Customer service or stakeholder-management skills, including communication with members, providers, attorneys, insurers, suppliers, or internal partners
• Ability to work independently and adapt to change

Requirements

• Prior experience in insurance, claims, subrogation, recovery, collections, legal services, healthcare reimbursement, or payment integrity (preferred)
• Knowledge of applicable insurance laws, regulations, contracts, or plan provisions (preferred)

Benefits

• Comprehensive medical, dental, and vision coverage
• Wellness program with resources for healthy living
• Health Savings Account (HSA) and Flexible Spending Account (FSA) for tax-free savings
• Tuition reimbursement opportunities
• Generous PTO so you can recharge
• Paid holidays and sick time
• Leave options to support life’s biggest moments
• Life and Disability insurance through Unum
• Voluntary coverage options for added peace of mind (Critical Illness, Accident, Hospital Indemnity, Legal, and Identity Protection)
• Employee Assistance Program (EAP) for free, confidential counseling and support
• Remote work options available for many roles
• Flexible schedules in select positions