Case Coordinator
 MultiPlan | |
401(k)
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 United States | |
 Feb 05, 2026 | |
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Case Coordinator
At Claritev, we're a bold, innovative team on a mission to bend the cost curve in healthcare for everyone. We're committed to service excellence, supporting our internal teams, our partners, and the communities we serve with the same level of care and intention. We are fearlessly ambitious, relentlessly curious, and united by a culture that values accountability, celebrates diversity, and empowers every voice. Together, we push boundaries, embrace new ideas, and elevate each other's potential. Join us on this transformational journey as we continue to grow into a leading force in healthcare technology, data, and innovation. Onward and upward, together. ROLE SUMMARY
This role is accountable for developing cases after the initial investigation to confirm viability of subrogation cases. Moreover, the incumbent manages the coordination of claim payments among health plans, collects refunds of duplicate payments from providers, and successful recovery of 1st party funds. The role provides a final determination on all potential sources of recovery and fully prepares the cases for the Paralegals to successfully negotiate the liability claims. This role requires the incumbent be confident on the phone and comfortable interacting with insurance companies, providers, health plan members, and personal injury attorneys. JOB ROLES AND RESPONSIBILITIES
1. Review, identify, and develop subrogation opportunities by gathering missing information and potential sources of recovery. Research and analyze information gathered through continuous investigation. Record and maintain detailed and accurate records.
2. Validate claim viability and terminate pursuit when necessary; respond timely to all electronic, written and verbal communications. 3. Place parties of interest on notice and send subsequent demand letters. 4. Continuously research and make outbound calls to request case information or status to drive cases to be prepared for settlement; maintain detailed and accurate case records and calendar diaries to monitor case activities to meet department expectations. 5. Engage advice and/or help of Negotiators/Paralegals to proactively resolve and/or transfer cases. 6. Ensure compliance of state and federal laws and maintain department productivity and quality standards. 7. Take transferred calls and/or documents from inbound investigation teams to provide a resolution to the enquiry. 8. Collaborate, coordinate, and communicate across disciplines and departments. 9. Ensure compliance with HIPAA regulations and requirements. 10. Demonstrate Company's Core Competencies and values held within. 11. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role. 12. 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. COMPENSATION The salary range for this position is $40,458- $67,671 annually. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. JOB SCOPE
This role keeps the needs of external and internal customers as a priority when making decisions and taking action. The successful incumbent operates independently under limited supervision. This role tasks the incumbent with decision making authority within specified parameters and must engage to obtain advice and/or help of legal manager, negotiator, or paralegal to proactively resolve cases. Works across customers, beneficiaries, providers, and supplemental payors while maintaining positive relationships.
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