Payments & Recovery Specialist
Posted 3 hours ago
You'll apply on the company's website.
About the Role
As a Payments and Recovery Specialist, you are central to maintaining the fiscal health and operational productivity of our worldwide travel insurance services. You will join a rapidly expanding international organization, taking charge of challenging, high-value matters and directly contributing to expense management initiatives. This position is vital for keeping claims processes fluid for customers while applying strict financial supervision to medical and assistance programs. Operating in an agile, tech-focused setting, your output will have a clear and tangible effect on operational outcomes. From managing intricate global billing scenarios to detecting potential fraudulent activity, your work upholds the standards of service excellence. This position provides a distinct chance to cooperate with interdepartmental groups and external attorneys, allowing you to build sophisticated recovery plans and shape the future of our global payment infrastructure.
Requirements
- Minimum of three years of professional experience in travel insurance, medical assistance, claims administration, or healthcare billing and cost containment.
- Comprehensive knowledge of insurance claims, medical subrogation, and the intricacies of coordinating benefits across multiple insurance policies.
- Advanced investigative and analytical capabilities, with high proficiency in interpreting medical reports, fiscal records, and policy documentation.
- Demonstrated negotiation talent and the ability to confidently dispute unfair charges or manage conflicts with global healthcare entities.
- Professional fluency in written and spoken English.
- Ability to work autonomously while handling a variety of complex tasks at the same time.
- Competency in using claims management software, spreadsheet applications, and digital team collaboration platforms.
- Fluency in Spanish, French, or Portuguese is a plus, as is prior experience with AI-assisted document review or automated verification technology.
Responsibilities
- Evaluate, confirm, and negotiate medical bills from international health service providers to guarantee fairness and accuracy.
- Scrutinize hospital statements to pinpoint redundant fees, extraneous treatments, or excessive pricing and engage with providers to finalize settlements.
- Manage recovery initiatives by seeking subrogation from liable third parties and working alongside legal advisors if lawsuits arise.
- Authenticate banking and payment details for international transfers and ensure every payment adheres to defined schedules.
- Execute due diligence to probe for potential insurance fraud, such as falsified records or atypical billing habits.
- Keep thorough documentation of every negotiation, recovery, and investigative act within claims management platforms and generate status reports regarding cost containment.
- Proactively suggest process enhancements and assist in creating updated workflows for global provider payments and fraud mitigation.
Benefits & Perks
- Opportunity to own difficult international cases and participate in high-stakes global provider negotiations.
- Chance to create robust recovery strategies and help develop intelligent, technology-enabled payment and anti-fraud workflows.
- Work within a rapidly scaling international company where your everyday tasks create immediate and measurable financial and operational value.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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