Healthcare Recovery Analyst. - Eden Prairie, MN - Full-time / Part-time

Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

As
a Healthcare Recovery Analyst, you will be responsible for recovering
subrogation money.  This position
requires the skills to successfully investigate, evaluate, and handle to
conclusion injury claims.  These may
include attorney-represented claims, complex injury claims, and litigated
claims.  As a healthcare recovery
analyst, you will be responsible for identifying claims containing healthcare
subrogation opportunities and working with all involved parties to ensure
thorough investigation and negotiation of settlements.  You will be accountable for all stages of the
process from initial contact to review of plan language and negotiation of the
plan’s subrogation interest.  This role is ultimately responsible to read and interpret
case law, statutes, and regulations and to articulate legal arguments in order
to negotiate settlements within authority level to maximize dollars
recovered and achieve customers’ financial expectations.  Individuals in this role will act as a subject matter with identifying, communicating,
and recovering healthcare dollars as deemed appropriate.

Primary Responsibilities:Investigates,
evaluates, and negotiates healthcare subrogation matters with an annual
recovery goal from $1M to $5MComprehend the nuances of Medicare,
Medicaid, Self-Funded ERISA and Non-ERISA related health insurance subrogation
recoveries and reimbursements to analyze and move cases to recovery for the
clients, including the negotiation of dollars that will be returned to the plan Research applicability of laws,
regulations and other requirements to cases, contracts or decisionsAnalyze data and interpret legal
research to make conclusions.  Present
results of analysis in writing and/or verbally to supports the Plan’s rightsMaintain working knowledge of ERISA and
ensure adherence to state and federal subrogation lawsUtilize your understanding of and
expertise of coverage, policy interpretation, contract interpretation, case
law, state/federal regulations Identify, monitor and evaluate data to determine
third party liability and reimbursement amounts; ongoing analysis of medical
treatment to evaluate relatednessEnsure compliance with Health Insurance
Portability and Accountability ActConduct
a high volume of outbound calls and expeditiously send out or respond to
electronic, written and verbal inquiries to/ from attorneys, insurance
companies and health plan membersValidate
claim liability, adjuster's contact information, claim status, availability of
coverage, accident-related injuries and health plan members' treatment statusCommunicate effectively with various
parties using all forms of correspondence throughout the subrogation recovery
process.  The analyst will correspond
with plaintiff’s attorney, defense counsel, third party insurers, and all other
parties of interestThoroughly
document all written and verbal communications and maintainSuccessfully  maintain multi-million dollar portfolio up to
$50MMust be able to act independent of an
attorney, present the client’s case and negotiate a settlement with an adverse
party with professionalism, integrity and vigorAssist with training and mentoring for
other Subrogation staff as neededOther tasks or projects as needed to
support the Subrogation Team

Requirements: High school diploma or GEDAn understanding of subrogation principles,
health insurance and/or P&C insurance requiredDemonstrated negotiation experience
required, specifically in the capacity of persuading and influencing others;
ability to negotiate fair settlements consistent with the prevailing
subrogation lawIntermediate proficiency in MS Office Suite of products required Word:  Work with Document Sections, format tables, work
with Excel data in a document, use a macro, use graphics, use a document
template, work with StylesExcel:  Maintain
a Large Worksheet, Chart Skills, Use Zoom to narrow focus, Create a
new chart (full range of chart options) Split window horizontally, Move or
resize an existing chart in a worksheet, Split window verticallyOutlook:Set up a new account in Outlook, Perform basic
email tasks, Manage calendar, Manage contacts, Manage tasks, Manage meetings, Manage
appointments and events, Configure and organize OutlookAssets:Four year degree in Paralegal Studies or
a Business-related area preferred; equivalent work experienced consideredKnowledge of local, state and federal
laws and regulations pertaining to insurance preferredSoft Skills: Candidate must be highly organized with
effective and exceptional communication skillsStrong analytical, problem solving and
decision-making skills required; ability to exercise good judgmentAbility to prioritize work, handle
multiple tasks and work independently requiredExceptional telephone and customer
service skills; ability to interact professionally in challenging situationsOpen to change and new information;
ability to adapt behavior and work methods to changing organization and
integrate best practices into the subrogation recovery process Physical Requirements and Work Environment: Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activityCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.