Talent.com
Intellivo
Claims Recovery Intake SpecialistIntellivo • Saint Louis, MO, United States
Claims Recovery Intake Specialist

Claims Recovery Intake Specialist

Intellivo • Saint Louis, MO, United States
3 days ago
Job type
  • Full-time
Job description

Claims Recovery Intake Specialist/Case Development Specialist Healthcare Recovery

The Claims Recovery Intake Specialist/Case Development Specialist Healthcare Recovery reviews inbound referrals and manually screens claims data to identify potential reimbursement and subrogation opportunities for Intellivo's clients. This role focuses on intake, validation, and case setupensuring that only high-quality, recoverable matters move forward to downstream recovery and legal teams. You will analyze medical claims, property & casualty (P&C) referrals, and related documentation to determine recovery potential, clarify facts, and accurately create cases in internal systems.

This role is ideal for candidates with backgrounds in insurance claims intake, medical billing, revenue cycle operations, or payer intake functions who enjoy investigative review, accuracy-driven work, and high-impact decision-making.

Responsibilities:

  • Review inbound referrals, accident reports, and insurer-supplied data for recovery potential
  • Manually screen healthcare claims and P&C information to identify third-party liability or reimbursement opportunities
  • Apply intake rules and guidelines to determine case creation, closure, or escalation
  • Distinguish recoverable accident-related scenarios from non-recoverable or low-value claims
  • Create and update cases in internal systems with accurate parties, injury details, and claim data
  • Capture and summarize referral facts for recovery and legal teams
  • Assign case types, priorities, and attributes based on client requirements
  • Request additional documentation from carriers, TPAs, attorneys, or internal teams to validate referrals
  • Document decisions and intake rationale clearly
  • Escalate complex or borderline cases to subject-matter experts

Qualifications:

  • 13 years' experience in insurance claims intake, medical billing, revenue cycle, payer operations, or data-review roles
  • Associate's or Bachelor's degree preferred (or equivalent experience)
  • Familiarity with healthcare claims, P&C data, TPL, or subrogation a plus
  • Strong attention to detail and investigative mindset
  • Comfortable performing high-volume manual review across multiple systems
  • Proficiency with Microsoft Office
  • Organized and able to manage intake queues independently
  • Collaborative and comfortable escalating questions

As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members. With a 25-year history of excellence, Intellivo proudly serves more than 200 of the country's largest health plans.

Why work for Intellivo?

  • Amazing Team Members Intellivators!
  • Medical Insurance
  • Dental & Vision Insurance
  • Industry leading health & wellness benefits
  • 401(K) retirement plan
  • Competitive Paid Time Off
  • And More!
Create a job alert for this search

Claims Recovery Intake Specialist • Saint Louis, MO, United States

Similar jobs

Claims Manager

ArchKey Solutions LLCFenton, MO, US
$25,000.00 yearly
Full-time

This position is based in our office in Fenton, MO.ArchKey is one of the nation’s largest privately held specialty trade installation and integrated facility service companies.We are a leader in de... Show more

Restaurant Delivery - Sign Up in Minutes

DoorDashElsah, IL, United States

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a var... Show more

 • Promoted

Insurance Solutions Specialist II

Stifel FinancialSaint Louis, MO, United States
Full-time

Stifel strives for a culture that puts its clients and associates first: a culture where everyone belongs, everyone is welcome, and everyone contributes to the success of our clients, their careers... Show more

 • Promoted

Field Auto Claims Analyst III

AllstateSaint Louis, MO, United States
Full-time

Field Auto Claims AdjusterNational General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.We offer ... Show more

 • Promoted

Claims Service Representative 3 - Total Salvage

AAASaint Louis, MO, United States
Full-time

Claims Service Representative 3 - Total Salvage.This position supports Fire/Theft department.This position supports the Auto Claims Operation by providing service pursuant to the policy by handling... Show more

 • Promoted

Personal Effects Claims Specialist

SquaremouthSaint Louis, MO, United States
Full-time

Personal Effects Claims Specialist.The Personal Effects Claims Specialist is a key member of ANOVA's Claims Department, responsible for managing the full lifecycle of household-goods and personal-e... Show more

 • Promoted

Claims Representative - Full Time, Remote (St. Louis, Missouri)

International Programs GroupSaint Louis, MO, United States
Remote
Full-time

Claims Representative - Full Time, Remote (St.Louis, Missouri)Join to apply for the Claims Representative - Full Time, Remote (St.Louis, Missouri) role at International Programs GroupClaimsPro LP -... Show more

 • Promoted

Inside Claims Adjuster

Dent WizardFenton, MO, United States
Full-time

Inside Claims AdjusterDent Wizard is the nation's undisputed leader in automotive reconditioning services and vehicle protection products and our success is the result of the great people who serve... Show more

 • Promoted

Expert Claims Review Business Analyst

ZelisSaint Louis, MO, United States
Full-time

The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile or Kanban context that deliver valued business outcomes and informed decisions for Zelis' key ... Show more

 • Promoted

Senior Business Accountability Specialist

Wells FargoSaint Louis, MO, United States
Full-time

Senior Business Accountability Specialist.Wells Fargo is seeking a Senior Business Accountability Specialist to join the Wells Fargo Investment Institute (WFII) team.The specialist is responsible f... Show more

 • Promoted

Insurance Reimbursement Specialist (Duplicate Payments)

Thompson Street Capital PartnersSaint Louis, MO, United States
Full-time

Insurance Reimbursement Specialist.Duplicate payments are common in accident-related healthcare claims and insurance billing workflows.In this role, you help health plans recover overpayments and e... Show more

 • Promoted

Claims Manager

ArchKey SolutionsFenton, MO, United States
Full-time

This position is based in our office in Fenton, MO.ArchKey is one of the nation's largest privately held specialty trade installation and integrated facility service companies.We are a leader in de... Show more

 • Promoted

Damage Claims Representative

SpectrumSaint Louis, MO, United States
Full-time

Spectrum Claims SpecialistCurious about how you can be the bridge between customers and field management while resolving escalated damage claims? At Spectrum, you'll leverage your expertise across ... Show more

 • Promoted

Certified Peer Recovery Specialist

New SeasonBRECKENRIDGE HILLS, MO, US
Full-time

Looking for a new opportunity? New Season offers exciting benefits! Take a look at this opportunity to join us in making a powerful impact in your local community! .Full benefits available on DAY O... Show more

Claims Representative Remote, Full Time (St. Louis, Missouri)

XperaSaint Louis, MO, United States
Remote
Full-time

Company :ClaimsPro LP - International Programs GroupClaims Representative - Remote Full Time (St.Louis Missouri)OverviewReporting to a Claims Supervisor the Claims Representative is responsible for... Show more

 • Promoted

Claims Representative - Remote, Full Time (St. Louis, Missouri)

XperaJerseyville, IL, United States
Remote
Full-time

Company :Groupe de programmes internationauxClaims Representative - Remote, Full Time (St.Louis, Missouri)OverviewReporting to a Claims Supervisor, the Claims Representative is responsible for inve... Show more

 • Promoted

Compliance Specialist-Plaza Motors

Asbury AutomotiveSaint Louis, MO, United States
Full-time

Billing Compliance ClerkPlaza Motors is part of Asbury Automotive Group (ABG), a Fortune 500 company and one of the largest franchised automotive retailers in the United States.We are redefining th... Show more

 • Promoted

Community Support Specialist - Substance Use Recovery

Compass Health NetworkArnold, MO, US
Full-time

Support Recovery and Resilience as a Community Support Specialist Be a part of a dynamic care team helping individuals in their recovery journey from substance use and co-occurring mental health ch... Show more

 • Promoted

Dental Claims Specialist (Primarily Remote)

Beacon Hill Financial - St. Louis 2Saint Louis, MO, United States
Remote
Full-time

Job DescriptionJob DescriptionBeacon Hill Financial is currently recruiting for Dental Claims Processing specialist for our nationally recognized client in the South County / Fenton area.This role ... Show more

 • Promoted

Claims Representative Specialist - Commercial Property

SentrySaint Louis, MO, United States
Full-time

Provides prompt property claim investigation, evaluation and settlement or denial of claims with highly complex exposures.This is a desk focused position located in Sentry's Stevens Point, WI; Edwa... Show more