Third Party Liability Specialist

Job Overview

As a Third Party Liability Specialist with the Department of Human Services (DHS), you will take part in investigative work that supports the recovery of medical assistance funds. You will review key documents, research potential repayment sources, and communicate the legal authority for DHS to recover funds. You will follow up on cases to ensure payment, while developing knowledge of laws and regulations that guide recovery efforts.

Step into a role where careful research and clear communication help strengthen program integrity across the Commonwealth.

• Claim Review:
  Analyze referrals from multiple sources to determine if benefits were incorrectly granted.
• Case Investigation:
  Investigate personal injury and estate cases through communication with attorneys, providers, and other agencies.
• Regulation Research:
  Study laws, regulations, and policies to interpret requirements and apply them to claim decisions.
• Collaboration Work:
  Coordinate with internal units and partner agencies to support efficient recovery processes.
• Record Accuracy:
  Maintain detailed case files, track significant events, and ensure proper documentation.
• Settlement Negotiation:
  Negotiate fair resolutions using sound judgment and diplomacy to maximize collections.

• Full-time employment, 37.5 hours per week.
• Work hours are 8:00 AM to 4:00 PM, Monday – Friday, with a 30‑minute lunch.
• Telework:
  Part‑time work from home up to 3 days per week is an option subject to meeting a securely configured high‑speed internet connection and an approved location inside Pennsylvania. If unable to telework, you may be required to report to the headquarters office in Harrisburg.
• Salary:
  In some cases, the starting salary may be non‑negotiable.
• Free parking!

• Four years of technical experience collecting, reviewing, or evaluating information for program eligibility or insurance limits of liability; or
• A bachelor’s degree; or
• An equivalent combination of experience and training.
• Applicants will be considered to have met the educational requirements once they are within 3 months of graduating with a qualifying degree.

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
• You must be able to perform essential job functions.

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to http://(Use the "Apply for this Job" box below). and click on Veterans.

• 711 (hearing and speech disabilities or other individuals).

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law.

All diverse candidates are encouraged to apply.