Researches third-party claims and recovers overpayments involving workers compensation, no-fault claims, hospital liens, subrogation, and liability cases. Applies laws and policy language, reviews medical charges, negotiates settlements, communicates legal rights, maintains accurate recovery records, and assists with litigation responses. The role also mentors staff, trains new employees, develops department procedures, and supports special projects.
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:
40Compensation:
Salary Range: $19.00 - $30.50Union Position:
NoDepartment Details
Summary
The Senior Recovery Specialist is responsible for the identification and research of third party claims. Works for the recovery of overpayments involving workers compensation, no-fault, hospital liens, and any other type of accident or liability claims. Identifies legal liability, and pursues, negotiates, and settles subrogation, liens, and reimbursement recoveries. The Recovery Specialist-Senior will also be responsible for creating and maintaining department policies/procedures, training new staff, and working special projects for the department.Job Description
Applies applicable laws, regulations, and policy language to achieve recoveries in accordance to mandates. Negotiates lien settlements with attorneys and other responsible representatives to obtain maximum recovery. Assists in response to Summons and Complaint and interrogatories from attorneys where suit has been commenced. Communicates legal rights to all involved parties placing them on notice of lien. Reviews medical charges to identify relatedness. Maintains detailed recovery records to ensure case facts are accurate. Maintains a high level of technical skill and knowledge of recovery processes to act as a resource to the department. Mentors Recovery Specialist to ensure completion of efficient and accurate litigation process. Trains new staff to ensure high quality job skills and expertise. Develops and maintains subrogation departmental procedures to ensure staff have accurate, thorough, and current position resources. Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform, within scope, role specific functions.Qualifications
Associates degree in business, legal, or healthcare related field required. In lieu of education leadership may accept six years’ applicable work experience.Minimum of three years’ work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication.
CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to [email protected].
Similar Jobs
Insurance
Supports overpayment recovery operations through workload monitoring, employee mentoring, reporting, audits, regulatory interpretation, quality reviews, process documentation, and resolution of complex financial cases. Provides technical assistance, tests system changes, ensures privacy and compliance, and serves as backup for related reimbursement and payment recovery functions. The role requires Medicare recovery expertise, knowledge of HIGLAS and applicable regulations, strong communication, research, training, and audit skills.
Top Skills:
HiglasHipaaIsoOmb-A-123Ssae-16
Enterprise Web • Fintech • Marketing Tech • Software
Manage a portfolio of mid-market B2B SaaS customers, driving adoption, retention, renewals, expansion, and measurable business outcomes. Build executive relationships, create strategic account success plans, monitor customer health, lead executive business reviews, identify risks and growth opportunities, and collaborate cross-functionally with Sales, Product, Support, Professional Services, Finance, and Marketing. Serve as the customer advocate and trusted strategic advisor.
Top Skills:
B2B SaasChurnzeroCRMErpGainsightSalesforceUnanet
Cloud • Information Technology • Security • Software • Cybersecurity
Provide first-line technical support for complex security and networking issues, including troubleshooting SSL, SAML, HTTP, TCP/IP, connectivity, and performance problems. Partner with Engineering, document resolutions, manage enterprise escalations, contribute product feedback, develop training, and mentor support engineers. The role requires expertise in web security, network infrastructure, security proxies, VPNs, firewalls, DLP, SD-WAN, and related technologies, along with U.S. citizenship.
Top Skills:
Ai/MlAPIsAWSAzureDlpEsxiFirewallsGCPGre TunnelsHar TracesHTTPIp Sla MonitoringIpsIpsec VpnNgfwPac FilesPacket Capture AnalysisSAMLSandboxingScimSd-WanSslSsl VpnSwgTcp/IpZscaler Zero Trust Exchange
What you need to know about the NYC Tech Scene
As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory
