Operations Support Specialist

Operations Support Specialist

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!

Job Summary

The Operations Support Specialist assists the recovery team by performing a variety of operational and administrative duties. This role requires an intermediate understanding of the subrogation process and supports key functions such as data entry, document processing, and case creation. Responsibilities include sorting and scanning incoming correspondence, reviewing claims, and creating new subrogation cases to support recovery efforts.

Key Responsibilities

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  Complete data entry and create new subrogation cases

  
  
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  Review claims and supporting documentation

  
  
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  Retrieve, image, and prioritize daily incoming mail

  
  
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  Perform ISO Index searches and identify accidents for referral to Subrogation Specialists

  
  
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  Generate and process IQ batches with guidance from the Subrogation Business Analyst

  
  
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  Obtain information such as claims and plan documents from client remote systems

  
  
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  Process outgoing and certified mail

  
  
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  Manage incoming emails, faxes, and voicemails within the Discovery Case Management system

  
  
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  Collaborate, coordinate, and communicate across disciplines and departments

  
  
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  Ensure compliance with HIPAA regulations and requirements

  
  
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  Demonstrate company core competencies and values

  
  
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  Handle PHI-sensitive data; this role is classified as a High Risk Role

  
  
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  Perform additional duties and responsibilities as assigned

  
  

Job Scope

The incumbent prioritizes the needs of both internal and external customers when making decisions and taking action. This role follows established guidelines, policies, and procedures, with limited exercise of independent judgment. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings.

Compensation

The salary for this position starts at $19.50/hour. Specific offers take into account a candidate's education, experience, skills, geographic location, and internal equity. This position is also eligible for health insurance, 401(k), and bonus opportunity.