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Loss Recovery Analyst Jobs in Florida (NOW HIRING)

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Senior Benefits Finance Analyst

Plantation, FL · On-site

$84K - $105K/yr

Analyze healthcare and pharmacy spend, utilization, PEPM costs, and key financial trends. Review ... loss recoveries. Monitor self-insured claims activity and identify emerging cost drivers and ...

Vacatia

... financial recovery. Why Youll Love Working at Vacatia * Build the Future: Help modernize how ... Ability to analyze borrower financial circumstances and recommend realistic options. * Excellent ...

Vacatia

Loss Mitigation Specialist

Fort Lauderdale, FL · On-site

... recovery. Why You'll Love Working at Vacatia * Build the Future: Help modernize how Vacatia ... Ability to analyze borrower financial circumstances and recommend realistic options. * Excellent ...

Home Depot

Asset Protection/Loss Prevention

Miami, FL · On-site

... recoveries, preserving evidence, interacting with law enforcement and testifying in criminal and ... Typically procedures for analyzing situations and making conclusions are diverse. Typically ...

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Loss Recovery Analyst information

What is a loss recovery analyst?

A Loss Recovery Analyst is a professional responsible for identifying, investigating, and recovering financial losses incurred by a company due to fraud, errors, disputes, or other irregularities. They analyze transactions, review documentation, and work closely with other departments or external entities to reclaim lost funds. Their role often involves using data analysis tools and adhering to regulatory guidelines to ensure accurate recovery processes and minimize future losses.

How does a loss recovery analyst typically collaborate with other departments within a financial institution?

Loss Recovery Analysts work closely with departments such as collections, legal, risk management, and customer service. They coordinate with collections teams to review delinquent accounts, partner with legal teams to ensure compliance with recovery processes, and communicate with risk management to identify trends and prevent future losses. This cross-functional collaboration helps streamline recovery efforts, ensures accurate record-keeping, and supports effective resolution strategies. Strong communication and teamwork skills are essential for success in this role.

What are the key skills and qualifications needed to thrive as a loss recovery analyst, and why are they important?

To thrive as a Loss Recovery Analyst, you need strong analytical abilities, attention to detail, and a background in finance, accounting, or a related field, often supported by a bachelor's degree. Familiarity with risk management software, financial databases, and case management systems, as well as certifications like CFE (Certified Fraud Examiner), are commonly required. Excellent communication, problem-solving skills, and persistence help professionals excel in recovering losses and negotiating with stakeholders. These competencies are crucial for accurately identifying recoverable assets, minimizing company losses, and ensuring compliance with legal and regulatory standards.

What is the difference between Loss Recovery Analyst vs Claims Analyst?

AspectLoss Recovery AnalystClaims Analyst
CredentialsTypically requires a bachelor's degree in finance, accounting, or related field; certifications like CPCU or ARM are commonSimilar educational background; certifications like CPCU or ARM also advantageous
Work EnvironmentUsually in insurance companies, financial institutions, or legal settingsPrimarily in insurance companies, adjusting firms, or legal departments
Industry UsageFocuses on recovering losses through negotiations, legal action, or insurance claimsHandles processing, evaluating, and settling insurance claims

While both roles operate within the insurance and financial sectors and may share similar credentials, the Loss Recovery Analyst primarily focuses on recovering losses through negotiations and legal avenues, whereas the Claims Analyst manages the processing and settlement of insurance claims. Understanding these distinctions helps job seekers identify the right career path based on their skills and interests.

What are popular job titles related to Loss Recovery Analyst jobs in Florida?

For Loss Recovery Analyst jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Loss Recovery Analyst jobs in Florida look for?

The top searched job categories for Loss Recovery Analyst jobs in Florida are:

What cities in Florida are hiring for Loss Recovery Analyst jobs?

Cities in Florida with the most Loss Recovery Analyst job openings:

Loss Recovery Analyst jobs near you

Denial Recovery Analyst | Enterprise Denials

UF Health

Saint Johns, FL • Remote

Full-time

Re-posted 15 days ago

Job description

Overview

Work remotely while using your denial management expertise to make a direct impact on healthcare operations.

???? Work Style: Remote
???? Location Requirement: Must reside in Florida or Georgia
???? FTE: Full-Time (1.0 FTE)

Responsible for reviewing technical denial claims and submitting reconsiderations and appeals to ensure accurate and timely reimbursement. Optimizes financial performance within the revenue cycle by maintaining low denial rates and maximizing recovery across the enterprise.

Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with third-party payers, responding to inquiries, disputes, and correspondence.

Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations. Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs.


Responsibilities

Key Responsibilities

  • Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations.
  • Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement.
  • Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards.
  • Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner.
  • Meet productivity and quality standards, including managing an average of 60 accounts per day while maintaining a 98% accuracy rate.
  • Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans.
  • Research and resolve denials related to eligibility, registration, billing errors, missing information, authorizations, and documentation requests.
  • Initiate, track, and follow up on appeals to prevent timely filing denials and maximize reimbursement opportunities.
  • Evaluate accounts and drive resolution using remittance advice, denial codes, payer portals, and payer communications.
  • Identify payer-specific denial trends and escalate findings to leadership with actionable recommendations for root cause analysis.
  • Collaborate with coding, billing, clinical, and revenue cycle teams to improve workflows and reduce future denials.
  • Review payer policies, reimbursement guidelines, and communications to remain current on regulatory and industry changes.
  • Proactively identify and resolve at-risk accounts receivable to minimize revenue loss and ensure compliance with contractual deadlines.
  • Maintain detailed account documentation and ensure all actions are accurately recorded within designated systems.
  • Support organizational revenue integrity initiatives through denial prevention, reimbursement optimization, and process improvement efforts.
  • Serve as a subject matter resource for denial resolution, payer requirements, and reimbursement best practices.
 

Qualifications

Minimum Qualifications

• High School Diploma or GED required

• Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting

Preferred Qualifications

• Associate’s degree or higher in a health or business-related field

• Experience in coding, medical record review, auditing, or insurance-related functions

• Experience supporting data governance and security policies

• Strong skills in report and dashboard development

• Ability to monitor BI tools and recommend process improvements

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