Third Party Liability Specialist

JOB As a Third Party Liability Specialist in the Department of Human Services, you will take on meaningful work that helps recover funds and uphold accountability. This position gives you the chance to review complex information and collaborate with partners across the state. You will join a team that values initiative, accuracy, and thoughtful decision making. Bring your skills to a role that makes a real difference in protecting public programs!

EXAMPLE OF DUTIES

This position focuses on evaluating potential claims, identifying responsible parties, and supporting the recovery of medical assistance funds. As a Third Party Liability Specialist, you will perform the following duties:

• Claim Review: Analyze referrals and determine whether benefits were issued incorrectly
• Case Investigation: Collect information from attorneys, insurers, providers, and other parties to support claim decisions
• Regulation Research: Interpret state and federal laws to guide claim analysis and determine responsible parties
• Settlement Negotiation: Discuss cases with interested parties and recommend fair settlement amounts
• Record Maintenance: Maintain accurate case files and document important updates for future reference
• Data System Use: Access and interpret information in electronic systems to support claim assessments

Interested in learning more? Additional details regarding this position can be found in the position description.

• Full-time employment, 37.5 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time up to 3 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
• Salary: In some cases, the starting salary may be non-negotiable.
• FREE parking!
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

SUPPLEMENTAL INFORMATION

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.