Claritev · 12 hours ago
Subrogation Specialist
United States
Full-time
Remote
Entry Level
$19/hr - $19/hr
1+ years expClaritev is a dynamic team of innovative professionals striving to bend the cost curve in healthcare. The Subrogation Specialist will process health insurance subrogation cases, investigate recovery opportunities, and coordinate with team members to maximize recovery in accordance with policies and procedures.
BillingHealth CarePayments
Responsibilities
Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts
Review, Identify and develop subrogation opportunities by gathering missing information and potential sources of recovery
Place parties of interest on notice
Organize and structure investigations to work in priority order using the tools provided
Respond timely to all electronic, written and verbal communications
Log and maintain detailed and accurate records
Access and pull benefits from clients' health claim systems
Engage advice and/or help of legal manager to proactively resolve cases
Ensure compliance of state and federal laws
Provide feedback to management and unit on trends or developments
Collaborate, coordinate, and communicate across disciplines and departments
Ensure compliance with HIPAA regulations and requirements
Demonstrate Company's Core Competencies and values held within
Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary
Qualification
Required
Minimum high school diploma or GED coupled with at least one (1) year of relevant experience
Working knowledge of Microsoft Word, Excel, internet research skills
Excellent organizational, communication, critical thinking, analytical and independent decision making skills
Developed customer service skills
Strong organizational and time management skills
Ability to work independently and as part of a team
Required licensures, professional certifications, and/or Board certifications as applicable
Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
Benefits
Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off - accrued based on years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
Company
Claritev
Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$7.18B2025-11-12Post Ipo Secondary· $77.25M
2024-12-24Post Ipo Debt· $4.5B
2020-10-09Post Ipo Equity· $1.3B
Leadership Team
Travis Dalton
President & CEO Claritev
M
Mohamed Ramzy
Senior Vice President & GM International
Recent News
2026-01-06
Morningstar.com
2025-11-14
Company data provided by crunchbase