Insurance Claims Reimbursement Manager (Attorney Negotiations Pod Lead)

About the Role

As an Insurance Claims Reimbursement Manager (Pod Lead), you are the operational anchor for a team handling healthcare insurance claims recovery and post-pay reimbursement for health plan clients. You keep high-volume claims work organized, prioritize complex medical billing and reimbursement matters, and ensure cases move forward efficiently across payer recovery operations.

You’ll partner closely with a Subrogation Attorney and Legal Assistants supporting coordination-of-benefits (COB), third-party liability (TPL), and lien recovery matters. Think of this role as “air traffic control”—maintaining visibility across claims, directing workflows, anticipating issues before they slow recovery, and preparing matters for negotiation, settlement, or reimbursement.

This role is ideal for someone who enjoys running complex operations, solving problems before they escalate, and driving measurable financial outcomes in a fast-paced environment.

Compensation:

On-Target Earnings (OTE): $75,000 – $100,000 annually (includes base salary plus performance-based commission)

Responsibilities:

Maintain oversight of healthcare insurance recovery, revenue cycle, and post-pay reimbursement cases for health plan clients

Prioritize and delegate tasks across claims operations, payer recovery, and billing workflows

Review medical bills, EOBs, and insurance claim files to prepare matters for settlement and lien recovery

Monitor case progress daily across post-pay audit and recovery programs and remove blockers

Perform advanced case review, fact validation, and settlement preparation involving coordination of benefits (COB) and third-party liability (TPL) matters

Communicate with attorneys, insurance adjusters, carriers, and TPAs to resolve claim questions

Support pod performance tied to payer recovery KPIs and financial outcomes

Maintain accurate records in claims adjudication or case-management systems

Provide day-to-day guidance to Legal Assistants on workflow standards, quality expectations, and case requirements

Qualifications:

5+ years of experience in healthcare billing, insurance claims, revenue cycle, post-pay audit, reimbursement operations, or paralegal roles

Paralegal certification or prior paralegal experience strongly preferred

Experience reviewing medical bills, EOBs, and insurance claim documentation

Familiarity with COB, TPL, workers’ compensation, auto liability, MedPay, or PIP preferred

Strong organizational and prioritization skills in high-volume environments

Experience leading or coordinating teams

Clear written and verbal communication

Analytical, proactive, and results-driven mindset

Who is Intellivo?

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?

Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. We are a team united by solving some of the most complex challenges on the financial side of healthcare.

Amazing Team Members – Intellivators!

Medical Insurance

Dental & Vision Insurance

Industry leading health & wellness benefits

401(K) retirement plan

Competitive Paid Time Off

And More!