Overpayment Recovery Analyst – Employee Benefits

• Review claim referrals to validate overpayments and ensure financial accuracy
• Use data science tools to detect discrepancies and identify overpayment recovery opportunities
• Coordinate additional investigations with internal claim partners
• Execute strategic overpayment recovery plans aligned with organizational goals
• Develop and implement recovery strategies for overpaid amounts from clients, vendors and other parties
• Negotiate repayment plans and settlements in compliance with policies and legal requirements
• Monitor recoveries and key performance metrics using data dashboards
• Manage a high-volume caseload and maintain timely follow-up communication
• Deliver customer service while balancing empathy and efficiency
• Manage customer expectations and complex negotiations
• Participate in problem-solving and process improvement
• Use advanced data analytics to identify root causes and overpayment patterns
• Document and update standard operating procedures
• Stay current on industry trends, best practices and emerging technologies
• Attend training sessions, workshops and field huddles
• Educate field business partners on overpayment trends, prevention and recovery processes
• Share knowledge with team members
• Serve as primary contact for internal and external business partners regarding overpayment issues
• Provide guidance on overpayment processes and best practices
• Coordinate with finance, claims, customer service and legal departments
• Ensure compliance with company, regulatory and jurisdictional requirements
• Monitor legal and regulatory changes affecting Group Benefits and overpayments
• Interpret policy language regarding overpayment recovery rights
• Collaborate with legal on complex disputes, settlements and challenges

Requirements

• Understanding of Group Benefits claims and leading indicators of overpayment preferred
• Proficiency in Group Benefits claim systems including DCS, THAA and PeopleSoft preferred
• Consistent high level of performance and achievement over career span
• Ability to exceed metrics and motivation to achieve high personal achievement
• Ability to build successful relationships with field partners and claimants
• Strong desk management skills and ability to work in a fast-paced environment with a proven track record of delivering results
• Excellent interpersonal skills and professional writing skills to communicate and negotiate with claimants and attorneys professionally
• High School diploma/GED
• 2+ years of prior claim or collections experience
• Bachelor's degree or equivalent experience strongly preferred
• Candidates near an office location must work in the office 3 days a week, Tuesday through Thursday
• Remote candidates not near an office must come into an office as business needs arise

Core Competencies

Demonstrates expertise in overpayment recovery strategies, data analytics, and compliance with regulatory requirements while effectively managing relationships with internal and external partners. Proficient in negotiating settlements and delivering exceptional customer service in a fast-paced environment.

Highest-signal resume keywords

• Overpayment Recovery Strategies
• Data Analytics
• Group Benefits Claims Systems
• Negotiation Skills
• Interpersonal Communication

Hard Skills

• Data Science Tools
• Advanced Data Analytics
• Claims Management
• Performance Metrics Monitoring
• Standard Operating Procedures Documentation
• Overpayment Detection
• Financial Accuracy Validation
• Root Cause Analysis
• High-Volume Caseload Management
• Compliance with Legal Requirements

Soft Skills

• Empathy
• Problem-Solving
• Relationship Building
• Professional Writing
• Customer Service

Industry Keywords

• Group Benefits
• Claims Processing
• Overpayment Patterns
• Regulatory Compliance
• Settlement Negotiation

Tools & Technologies

• DCS
• THAA
• PeopleSoft
• Data Dashboards