Sr Recovery Analyst
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Key details
- Location
- Southfield, MI, United States
- Work style
- Hybrid
- Level
- Senior
- Job type
- Full-time
- Experience
- 2–5 yrs
- Function
- Operations & Strategy
- Focus area
- other
- Posted
- Yesterday
Skills
claims managementcssexcelmicrosoft accessmicrosoft officemicrosoft wordnegotiation
About the role
Our Auto PIP team is currently seeking a Sr. Recovery Analyst - MCCA.
This is a full time, non-exempt role with a hybrid work arrangement of 2 days in office.
Howell, MI / Farmington, MI
Southfield, MI
POSITION OVERVIEW:
The Sr. Recovery Analyst will be responsible for the aggressive recovery of monies and the proactive handling of Michigan Catastrophic Claims Association (MCCA) or Michigan Assigned Claims Plan files. They will have a demonstrated record of success with regard to evaluating and pursuing recoveries and reimbursements under the rules set forth by the MCCA or MACP. The role includes examining claim facts, medical treatment, and claim payments to discern between reimbursable and non-reimbursable losses and expenses. The Analyst must demonstrate the ability to determine whether the claim is billable under the plans and have the ability to apply concepts and rules as part of the MCCA Claim Guide or MACP Plan of Operations. This is a fast paced environment and this individual must think critically; anticipate, identify, and develop solutions to problems in a timely manner.
IN THIS ROLE, YOU WILL:
Proactive and strategic file evaluation of potential recoveries
Interpreting claim file materials and their correlation to the recovery process
Maintain accurate records, reports, and file documentation
Decision making in accordance with jurisdictional guidelines
Accurate calculation of recovery potential
Provide meaningful feedback to management regarding claim developments
Responsible for maintaining a high level of productivity and collaboration
Manage claims throughout the recovery process both internally and externally
WHAT YOU NEED TO APPLY:
Bachelor’s degree or equivalent experience
2+ years working knowledge of Michigan No Fault claims adjusting and recovery practices
Familiarity with claims systems (HCS/CSS), Mainframe (PMS) and Bill Review Systems (CorVel/Power track)
Advanced computer experience (MS Office, Excel, Word, Access)
Dedicated to meeting the expectations and requirements of internal and external customers
Makes timely, informed decisions
Maintains constructive working relationships
Strong organization and time management skills
Ability to win concessions without damaging relationships using negotiation and diplomacy skills
Displays strong written and verbal communication skills
Easily adapts to new and changing environments and priorities
Operates with appropriate management oversight
Cultivates an environment of teamwork and collaboration
Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems in a timely manner
Creates innovative ideas and solutions to problems
This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.
This is a full time, non-exempt role with a hybrid work arrangement of 2 days in office.
Howell, MI / Farmington, MI
Southfield, MI
POSITION OVERVIEW:
The Sr. Recovery Analyst will be responsible for the aggressive recovery of monies and the proactive handling of Michigan Catastrophic Claims Association (MCCA) or Michigan Assigned Claims Plan files. They will have a demonstrated record of success with regard to evaluating and pursuing recoveries and reimbursements under the rules set forth by the MCCA or MACP. The role includes examining claim facts, medical treatment, and claim payments to discern between reimbursable and non-reimbursable losses and expenses. The Analyst must demonstrate the ability to determine whether the claim is billable under the plans and have the ability to apply concepts and rules as part of the MCCA Claim Guide or MACP Plan of Operations. This is a fast paced environment and this individual must think critically; anticipate, identify, and develop solutions to problems in a timely manner.
IN THIS ROLE, YOU WILL:
Proactive and strategic file evaluation of potential recoveries
Interpreting claim file materials and their correlation to the recovery process
Maintain accurate records, reports, and file documentation
Decision making in accordance with jurisdictional guidelines
Accurate calculation of recovery potential
Provide meaningful feedback to management regarding claim developments
Responsible for maintaining a high level of productivity and collaboration
Manage claims throughout the recovery process both internally and externally
WHAT YOU NEED TO APPLY:
Bachelor’s degree or equivalent experience
2+ years working knowledge of Michigan No Fault claims adjusting and recovery practices
Familiarity with claims systems (HCS/CSS), Mainframe (PMS) and Bill Review Systems (CorVel/Power track)
Advanced computer experience (MS Office, Excel, Word, Access)
Dedicated to meeting the expectations and requirements of internal and external customers
Makes timely, informed decisions
Maintains constructive working relationships
Strong organization and time management skills
Ability to win concessions without damaging relationships using negotiation and diplomacy skills
Displays strong written and verbal communication skills
Easily adapts to new and changing environments and priorities
Operates with appropriate management oversight
Cultivates an environment of teamwork and collaboration
Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems in a timely manner
Creates innovative ideas and solutions to problems
This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.