MCCA Senior Recovery Analyst

Our Auto PIP team is currently seeking a MCCA Senior Recovery Analyst.
This is a full time, non-exempt role with a hybrid work arrangement of 2 days in office.

Howell, MI / Farmington, MI
Southfield, MI

POSITION OVERVIEW:
The MCCA Senior Recovery Analyst is responsible for proactively identifying, evaluating, and pursuing reimbursement opportunities from assigned claim plans and the Michigan Catastrophic Claims Association (MCCA). This position plays a critical role in maximizing recovery outcomes through comprehensive analysis of claim facts, medical treatment history, billing data, and claim payments.

The Analyst will prepare, review, and submit documentation necessary to support reimbursement requests while ensuring compliance with applicable statutory, regulatory, and claim plan requirements. Success in this role requires strong analytical and problem-solving skills, exceptional attention to detail, and the ability to effectively collaborate with a wide range of internal and external stakeholders.

This individual will work closely with PIP Claims Adjusters, Medical Strategy, Bill Review, Claims Leadership, fellow Recovery Analysts, and external vendors and state fund representatives to drive accurate and timely recoveries. The position operates in a fast-paced environment where the ability to manage multiple priorities, analyze complex information, leverage technology, and proactively develop solutions is essential.
IN THIS ROLE, YOU WILL:

Analyze claim, medical, billing, and payment data to identify recovery opportunities and support reimbursement requests.
Pull, validate, and interpret large datasets to support the resolution of provider disputes, billing inquiries, reimbursement requests, and claim plan audits.
Evaluate claim files and prepare comprehensive documentation packages for initial claim notice reporting and ongoing reimbursement submissions.
Assist in the preparation and submission of pre-approval requests, ensuring accuracy, completeness, and compliance with claim plan requirements.
Partner with adjusters to complete claim-related tasks that impact recovery and reimbursement efforts, including SSDI correspondence, eligibility verification, and follow-up activities.
Collaborate with Medical Strategy, Bill Review, vendor partners, and Claims Leadership to resolve complex reimbursement issues and identify process improvement opportunities.
Utilize advanced Excel functions, pivot tables, reporting tools, and AI-powered technologies to analyze data, identify trends, improve efficiencies, and support decision-making.
Monitor assigned workloads and reimbursement deadlines to ensure timely submission and follow-up of recovery opportunities.
Identify process gaps and recommend innovative solutions to improve operational effectiveness and reimbursement outcomes.
Maintain accurate documentation and reporting to support internal audits, compliance requirements, and stakeholder communications.

WHAT YOU NEED TO APPLY:

Strong analytical, investigative, and critical-thinking skills.
Advanced proficiency in Microsoft Excel, including Pivot Tables, VLOOKUP/XLOOKUP, formulas, data validation, and reporting.
Demonstrated ability to leverage AI tools, including Microsoft Copilot and other automation technologies, to improve efficiency, analyze data, and support business processes.
Excellent organizational skills with a high degree of attention to detail and accuracy.
Ability to interpret complex medical billing, claim, and reimbursement information.
Strong written and verbal communication skills with the ability to collaborate effectively across multiple departments and external partners.
Ability to manage competing priorities and meet deadlines in a high-volume, fast-paced environment.
Experience with Michigan No-Fault, MCCA reimbursement processes, medical bill review, or claim recovery operations preferred.

This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.