Job Summary Provides senior level support for claims recovery activities including researching ... Research, analysis and data entry skills. Organizational skills and attention to detail. Time ...
Job Summary Provides senior level support for claims recovery activities including researching ... Research, analysis and data entry skills. Organizational skills and attention to detail. Time ...
Senior Specialist, Claims Recovery - Remote
Long Beach, CA · On-site +1
$33K - $73K/yr
Job Summary Provides senior level support for claims recovery activities including researching ... analysis and data entry skills. • Organizational skills and attention to detail. • Time ...
Senior Specialist, Claims Recovery - Remote
Long Beach, CA · On-site +1
$33K - $73K/yr
Job Summary Provides senior level support for claims recovery activities including researching ... analysis and data entry skills. • Organizational skills and attention to detail. • Time ...
Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle complex ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle complex ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Claims Specialist
Denver, CO · On-site
$20 - $24/hr
We offer a competitive base salary plus commission. Key Responsibilities * Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across ...
Claims Specialist
Denver, CO · On-site
$20 - $24/hr
We offer a competitive base salary plus commission. Key Responsibilities * Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across ...
Financial Recovery Analyst
Camp Hill, PA · On-site
Overview Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Financial Recovery Analyst
Camp Hill, PA · On-site
Overview Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Claims Specialist
Charlotte, NC · On-site
$4.0K - $10K/mo
We offer a competitive base salary plus commission. Key Responsibilities * Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across ...
Claims Specialist
Charlotte, NC · On-site
$4.0K - $10K/mo
We offer a competitive base salary plus commission. Key Responsibilities * Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across ...
OverviewFinancial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
OverviewFinancial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Revenue Recovery Analyst
$35 - $40/hr
Description JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
$35 - $40/hr
Description JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
Job Type Full-time Description JOB SUMMARY The Revenue Recovery Analyst is responsible for ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
Job Type Full-time Description JOB SUMMARY The Revenue Recovery Analyst is responsible for ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing, and executing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing, and executing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
Carlsbad, CA · On-site
$60K - $85K/yr
... and claims. This role drives measurable financial impact through dispute recovery, financial ... Success in this role requires sharp analytical thinking, attention to detail, fluency in financial ...
Quick apply
Revenue Recovery Analyst
Carlsbad, CA · On-site
$60K - $85K/yr
... and claims. This role drives measurable financial impact through dispute recovery, financial ... Success in this role requires sharp analytical thinking, attention to detail, fluency in financial ...
Revenue Recovery Analyst
Carlsbad, CA · On-site
$60K - $85K/yr
... and claims. This role drives measurable financial impact through dispute recovery, financial ... Success in this role requires sharp analytical thinking, attention to detail, fluency in financial ...
Quick apply
Revenue Recovery Analyst
Carlsbad, CA · On-site
$60K - $85K/yr
... and claims. This role drives measurable financial impact through dispute recovery, financial ... Success in this role requires sharp analytical thinking, attention to detail, fluency in financial ...
Recovery Services Sales Specialist
TX · Remote
$100/hr
... backend commission on the Company fee actually collected from successfully recovered claims ... Strong analytical, problem-solving, and decision-making skills with the ability to identify issues ...
Recovery Services Sales Specialist
TX · Remote
$100/hr
... backend commission on the Company fee actually collected from successfully recovered claims ... Strong analytical, problem-solving, and decision-making skills with the ability to identify issues ...
... recovery team leads, affected clients, etc. Develop and gain approval for ITO BC and DR Exercise ... Compensation (including bonuses, commissions, or other forms of incentive pay) is not considered ...
... recovery team leads, affected clients, etc. Develop and gain approval for ITO BC and DR Exercise ... Compensation (including bonuses, commissions, or other forms of incentive pay) is not considered ...
Cargo Claims Specialist - Recovery
Plantation, FL · On-site +1
Support the recovery process by identifying and assisting with the pursuit of liable third parties ... in rootcause analysis where needed. * Maintain accurate and uptodate entries in the claims ...
Cargo Claims Specialist - Recovery
Plantation, FL · On-site +1
Support the recovery process by identifying and assisting with the pursuit of liable third parties ... in rootcause analysis where needed. * Maintain accurate and uptodate entries in the claims ...
Claims Associate - Recovery
West Des Moines, IA · On-site
$19/hr
Processes recoveries into various claims systems to ensure the recovery dollars are applied to ... Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills
Claims Associate - Recovery
West Des Moines, IA · On-site
$19/hr
Processes recoveries into various claims systems to ensure the recovery dollars are applied to ... Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills
Default Recovery Analyst
Raleigh, NC · On-site
ABOUT THE POSITION Default Recovery Analyst is responsible for the post charge-off recovery of ... Manage a portfolio of accounts assigned for small claims and legal pursuit. * Appear on behalf of ...
Default Recovery Analyst
Raleigh, NC · On-site
ABOUT THE POSITION Default Recovery Analyst is responsible for the post charge-off recovery of ... Manage a portfolio of accounts assigned for small claims and legal pursuit. * Appear on behalf of ...
Processes recoveries into various claims systems to ensure the recovery dollars are applied to ... Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills
Processes recoveries into various claims systems to ensure the recovery dollars are applied to ... Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills
ABOUT THE POSITION Default Recovery Analyst is responsible for the post charge-off recovery of ... Manage a portfolio of accounts assigned for small claims and legal pursuit. * Appear on behalf of ...
Quick apply
ABOUT THE POSITION Default Recovery Analyst is responsible for the post charge-off recovery of ... Manage a portfolio of accounts assigned for small claims and legal pursuit. * Appear on behalf of ...
Processes recoveries into various claims systems to ensure the recovery dollars are applied to ... Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills
Processes recoveries into various claims systems to ensure the recovery dollars are applied to ... Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills
Commission Claims Recovery Analyst information
See salary details
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
How much do commission claims recovery analyst jobs pay per hour?
What is the difference between Commission Claims Recovery Analyst vs Claims Adjuster?
| Aspect | Commission Claims Recovery Analyst | Claims Adjuster |
|---|---|---|
| Credentials | Relevant certifications (e.g., CPCU, ARM), high school diploma or equivalent | Licenses (state-specific), relevant certifications |
| Work Environment | Office setting, financial or insurance companies | Insurance companies, field or office-based |
| Industry Usage | Insurance, finance, claims recovery | Insurance, claims processing |
| Primary Focus | Recovering unpaid commissions, analyzing claims data | Assessing and settling insurance claims |
The main difference is that a Commission Claims Recovery Analyst focuses on recovering unpaid commissions through data analysis, while a Claims Adjuster handles the assessment and settlement of insurance claims. Both roles require relevant certifications and work within the insurance or finance industry, but their core responsibilities differ significantly.
How much do claims analysts make in the US?
What is the career path of a claims analyst?
Is a claims analyst a hard job?
What does a claims analyst do?
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Full-time
Posted 20 days ago
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
143rd of 277 rated insurance
Job description
Provides senior level support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards.
Essential Job Duties
Prepares written provider overpayment notification and supporting documentation such as explanation of benefits (EOB), claims and attachments.
Maintains and reconciles department reports for outstanding payment, uncollectible claims and autopayment recoveries.
Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval.
Researches simple to complex claims payments including researching tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers.
Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC), and diagnosis-related group (DRG) requests.
Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application.
Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claims recovery (refund request letters, refund checks, claims reversals), and reporting and documentation of recovery as explained in department Standard Operating Procedures (SOPs).
Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred.
Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers.
Reviews daily and weekly variance reports to ensure quality and correct processing of claims.
Completes weekly and monthly finance refund check reconciliations.
Maintains accounts payable (AP) check provider add process.
Assists with claims staff audits, inquiries, and training as needed.
Supports claims department initiatives to improve overall claims function efficiency.
Meets claims department quality and production standards.
Completes claims projects as assigned.
Required Qualifications
At least 3 years of experience in a clerical role in a claims, and/or customer service setting, and a minimum of 1 year of experience in claims recovery in a Medicaid managed care organization, or equivalent combination of relevant education and experience.
Working knowledge of claims payments, multiple state billing guidelines and claims processing policies and procedures.
Research, analysis and data entry skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Experience in claims adjudication and/or claims examination.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980