Insurance Reimbursement Specialist (Adjuster Negotiations)

About the Role

As an Insurance Reimbursement Specialist, you will manage a high-volume portfolio of healthcare subrogation and reimbursement cases and negotiate directly with liability insurance adjusters to secure accurate and timely recoveries for our clients.

Using your claims expertise, investigative skills, and negotiation ability, you will gather information from insurers, analyze payment responsibility, identify recovery opportunities, and drive cases to resolution. You’ll play a hands-on role in ensuring that injury-related medical costs are reimbursed properly and that health plans receive the funds they are owed.

This role is ideal for someone with experience in insurance claims or reimbursement who enjoys influencing outcomes, working complex cases, and delivering measurable financial results in a performance-driven environment.

Compensation:

On-Target Earnings (OTE): $55,000 – $65,000 annually (includes base salary plus performance-based commission)

Responsibilities:

Manage a portfolio of subrogation, lien, and insurance reimbursement cases

Develop case strategies that support strong financial outcomes and timely resolution

Obtain and analyze documentation from insurers to confirm liability, coverage, and payment responsibility

Negotiate directly with insurance adjusters and claim representatives to reach accurate settlements

Drive cases forward through proactive outreach, consistent follow-up, and barrier removal

Respond to inbound calls and emails regarding case status, documentation, and lien requests

Build strong working relationships with adjusters, carriers, and external stakeholders

Send lien notices, confirm receipt, and pursue missing or pending information

Maintain detailed case notes and communication logs in recovery or claims systems

Ensure settlement funds are received and posted in a timely manner

Partner with internal teams for escalations, strategy alignment, or complex case review

Qualifications:

Associate degree required; Bachelor’s degree preferred—or equivalent industry experience (3+ years)

Background in insurance claims, subrogation, workers’ compensation, auto liability, personal injury, revenue cycle, COB, or healthcare reimbursement

Proven ability to manage high-volume caseloads accurately

Strong negotiation and persuasion skills

Clear written and verbal communication, especially on phone and email

Highly organized with strong follow-through

Proactive problem-solver who keeps cases moving

Comfortable working independently in a fast-paced environment

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!