Operations Support Specialist

Why This Role Matters

Operations Support Specialist provides operational support to the recovery team through correspondence processing, data entry, and subrogation case creation. The role requires a foundational understanding of the subrogation process, adherence to established policies and procedures, and a strong commitment to internal and external customer service. Accurate and timely execution of responsibilities is essential to supporting company revenue and client savings. This position is based on-site in the De Pere office.

What You'll Do

• Completing data entry and new case creation.

• Reviewing claims.

• Retrieving, imaging, and prioritizing the daily incoming mail (must be onsite to complete this work.)

• Performing ISO index searches and identifying accidents to refer to Subrogation Specialists.

• Generating and processing IQ batches with guidance for the Subrogation Business Analyst.

• Obtaining information such as claims and plan documents from client remote systems.

• Processing outgoing mail and certified mail.

• Processing incoming emails, faxes, and voicemails onto the Discovery Case Management system.

• Collaborate, coordinate, and communicate across disciplines and departments.

• Ensure compliance with HIPAA regulations and requirements.

• Demonstrate Company's Core Competencies and values held within.

• Please note due to the exposure of PHI sensitive data - this role is considered to be a High-Risk Role.

• The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

What You Will Bring

• High School Diploma or GED with 1+ years of experience in an office environment, prefer experience in medical claims industry

• Typing skills of a minimum of 45 wpm

• Must be able to work on site at the De Pere Office

• The ability to ask questions to uncover the information needed

• Basic knowledge of working computers/scanners

• Strong communication and client interfacing skills

• Basic knowledge of the Microsoft Office 365 tools

• Required licensures, professional certifications, and/or Board certifications as applicable

• Individuals in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

Compensation

The salary range for this position is $19.50
per hour.

Actual compensation is based on experience, skills, education, work location, and internal equity. This position may also
be eligible for incentive compensation and the comprehensive benefits outlined in the My Total Value section.

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Why Claritev?

Healthcare is complex. We help make it clearer.

At Claritev, you'll do work that matters. Together, we're helping make healthcare more transparent and affordable for all through the power of data, technology, and expertise. We offer meaningful opportunities to grow your career, collaborate with talented colleagues, and make an impact on the clients and communities we serve. If you're looking for purpose, growth, and a team that succeeds together, you'll find it here.

What Guides Us

At Claritev, innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.