Experience

Anthem

• Subrogation Analyst

  • Oct 2016 - Present

  Responsible for handling Third Party liability, Worker’s Compensations and other subrogation recovery cases• Responsible for developing and analyzing case files, policy groups, policy language, state rules and regulations. Reviewing, monitoring and updating case files .Effectively following programs and procedures with direct participation with third party insurance companies and law offices to effectively increase reimbursement and subrogation interest on paid claims• Inbound and… Responsible for handling Third Party liability, Worker’s Compensations and other subrogation recovery cases• Responsible for developing and analyzing case files, policy groups, policy language, state rules and regulations. Reviewing, monitoring and updating case files .Effectively following programs and procedures with direct participation with third party insurance companies and law offices to effectively increase reimbursement and subrogation interest on paid claims• Inbound and outbound communication. Reply to correspondence, audit findings, respond and interpret complex inquiries to third party insurances, law offices and subscribers• Analyze the need for reduction among different type of policy groups; negotiate depending on state laws and regulations and settlement amount. Evaluate and take initiative to effectively meet the needs of all parties• Conduct analytical review to evaluate diagnostic and procedure codes to determine claims relevant to each case• Initiate and prepare communications, final settlement letters and itemization reports Show more Show less