Sr. Claim Recovery Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr. Claim Recovery Specialist based in the United States.

The Senior Claim Recovery Specialist plays a vital role in identifying and pursuing reimbursement opportunities when healthcare benefit plans have paid medical expenses that may be the responsibility of another party. This position combines claims investigation, case management, negotiation, and stakeholder communication to help recover funds and support the financial sustainability of healthcare benefit plans. Working closely with attorneys, insurance adjusters, plan participants, employers, and claims administrators, the specialist evaluates potential recovery sources and coordinates the documentation needed to move cases forward. The role requires sound judgment, attention to detail, and the ability to manage a high-volume caseload while meeting strict deadlines. The successful candidate will contribute to accurate, compliant, and efficient recovery operations in a fast-paced environment. This is an opportunity for an experienced claims professional to apply their subrogation and reimbursement expertise while supporting more affordable healthcare benefits for employees and their families.