Financial Operations Recovery Specialist

Financial Operations Recovery Specialist I

Location: Virtual:
This role enables associate to work virtually full-time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

* This position will require Government Facets Claims Processing experience.

Financial Operations Recovery Specialist I is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.

• Participate in claims workflow projects.
• Respond to telephone and written inquiries and initiate steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims.
• Adjust voids and reopen claims online within guidelines to ensure proper adjudication.
• May have customer/client contact.
• May assist with training of staff.
• Works without significant guidance.

• Requires a HS diploma and a minimum of 3 years of the company's internal claims experience; or any combination of education and experience which would provide an equivalent background.

• Government claim processing experience STRONGLY preferred.
• TS Home and/or Host experience preferred
• Claim Adjustment experience preferred
• Demonstrated ability to work independently, prioritize workload, and take ownership of daily deliverables with minimal supervision.
• Strong ability to read, interpret, and accurately apply documented policies, procedures, and processing steps to ensure compliant, consistent outcomes.
• Flexibility to shift between work types (e.g., queues, outreach, research, corrections) and adapt quickly to changing priorities while maintaining production and quality standards.
• High attention to detail and accuracy when reviewing financial information, resolving discrepancies, and documenting actions in required systems.
• Effective time management and organization skills to meet deadlines and service‑level expectations in a high‑volume environment.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.