Financial Operations Recovery Specialist

Location

Virtual – This role enables the associate to work virtually full‑time, with the exception of required in‑person training sessions. It promotes flexibility, autonomy, and supports productivity and work‑life integration.

Please note that per our policy on hybrid/virtual work, candidates who are 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.

The 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 related to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims.
• Adjust voids and re‑open claims online within guidelines to ensure proper adjudication.
• Occasional customer/client contact.
• Assist with training of staff.
• Work without significant guidance.

• High school diploma and a minimum of 3 years of the company’s internal claims experience; or any combination of education and experience that 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.

Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

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, and 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.