Recovery Specialist II (Healthcare Claims)

Job Description

About Conduent

Conduent delivers mission-critical services and solutions on behalf of businesses and governments creating exceptional outcomes for its clients and the millions of people who count on them. Through people, process and technology, Conduent solutions and services automate workflows, improve efficiencies, reduce costs and enable revenue growth. It’s why most Fortune 100 companies and over 500 government entities depend on Conduent every day to manage their essential interactions and move their operations forward.

 

Conduent’s differentiated services and solutions improve experiences for millions of people every day, including two-thirds of all insured patients in the U.S., 10 million employees who use its HR Services, and nearly nine million people who travel through toll systems daily. Conduent’s solutions deliver exceptional outcomes for its clients including $16 billion in medical bill savings, up to 40% efficiency increase in HR operations, and up to 40% improvement in processing costs, while driving higher end-user satisfaction. Learn more at www.conduent.com.


Job Description

  • Monitors and independently manages an inventory of cases for health plan reimbursement in third party liability situations.
  • Responds to and makes requests of additional information and documentation to and from attorneys, insurance adjusters, and health plan members related to healthcare recovery rights.
  • Applies in-depth knowledge of applicable state and federal laws related to healthcare recovery rights.
  • Negotiates resolution of health plan reimbursement rights.

Qualifications:

  • Excellent analytical skills and decision-making ability
  • Excellent computer skills
  • Phone experience preferred
  • Knowledge of insurance, subrogation, and personal injury law desired
  • Previous paralegal experience and/or education such as paralegal certificate/degree desired
  • Associate’s or Bachelor’s degree preferred

Closing

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form.