Investigate and resolve claims related to subrogation, overpayments, and coordination of benefits to ensure payment accuracy. Communicate with members, providers, and insurers while maintaining compliance with HIPAA and ERISA regulations.
Katch
6 Remote Job Openings at Katch
The Pre-Pay Analyst pursues financial savings by managing coordination of benefits and coverage exclusions. Responsibilities include investigating claims and communicating with members, providers, and insurance companies to ensure compliance.
The Recovery Specialist investigates and negotiates healthcare subrogation matters to recover medical payments from responsible third parties. This includes handling complex injury cases, communicating with attorneys and insurers, and maintaining detailed case records.
Lead the end-to-end design, development, and deployment of scalable AI solutions and agentic workflows. Oversee AI governance, ethical compliance, and technical validation of models within regulatory frameworks like Basel III.
Oversee the accounts payable process and supervise the AP team. Ensure accurate and timely processing of invoices and payments.
You will design, build, and deploy AI-powered solutions while collaborating with Investigations and Recovery teams to identify high-impact use cases. Additionally, you will integrate these AI tools with data pipelines and ensure compliance with security and governance standards.