Intellivo
Case Development Specialist - Health Insurance Plan Recovery
Creve Coeur, Missouri
Sponsorship not specifiedDetected 12 days ago
Microsoft OfficeProperty & Casualty
About the role
- The Case Development Specialist - Healthcare Recovery reviews inbound referrals and manually screens claims data to identify potential reimbursement and subrogation opportunities for Intellivo's clients.
- This role focuses on intake, validation, and case setup-ensuring that only high-quality, recoverable matters move forward to downstream recovery and legal teams.
- This role is ideal for candidates with backgrounds in insurance claims intake, medical billing, revenue cycle operations, or payer intake functions who enjoy investigative review, accuracy-driven work, and high-impact decision-making.
Responsibilities
- Create and update cases in internal systems with accurate parties, injury details, and claim data
- Request additional documentation from carriers, TPAs, attorneys, or internal teams to validate referrals
- Document decisions and intake rationale clearly
Requirements
- Proficiency with Microsoft Office
- 1-3 years' experience in insurance claims intake, medical billing, revenue cycle, payer operations, or data-review roles
- Familiarity with healthcare claims, P&C data, TPL, or subrogation a plus
- Strong attention to detail and investigative mindset
- Comfortable performing high-volume manual review across multiple systems
- Organized and able to manage intake queues independently
- Collaborative and comfortable escalating questions
- As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers.
- Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members.
- With a 25-year history of excellence, Intellivo proudly serves more than 200 of the country's largest health plans.
- Imagine a place where your talent is treasured, and excellence is rewarded.
Nice to have
- Associate's or Bachelor's degree preferred (or equivalent experience)
Benefits
- Manually screen healthcare claims and P&C information to identify third-party liability or reimbursement opportunities
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This listing is sourced directly from Intellivo's careers page and normalized into a canonical job model.