ORS - Tort Agent

ORS - Tort Agent FT / PT Status – Full Time Salary – $20.28 Hourly Remote Work / In-Office – Hybrid Recruiter – Josh Stover | [email protected] | 801.538.4251 Application Deadline – A ugust 24, 2026 *This job posting may close at any time after the minimum advertising period of three (3) business days has passed, should a sufficient applicant pool be received. Applicants are encouraged to apply as early as possible. Key Responsibilities A Tort Agent uses automated computer systems and associated business practices to verify, investigate, and/or collect from potential third-party payers for the Medicaid program. They provide customer assistance, process legal documents, compile and compose claims/liens or other correspondence, verify potential third-party payers, and any other information affecting collection and/or compliance potential. An agent will explain to customers their responsibilities for payment on a Medicaid lien by telephone, correspondence, or in person. A Tort Agent will receive payments on accounts, evaluate accounts to verify claims or liens have been filed, review cases for appropriate payment and potential third-party payers, and/or determine appropriate legal action and next steps. They may research, calculate amounts due, and/or prepare documentation for further action. They will gather relevant information through interviews or record searches, analyzing facts, and applying knowledge of agency rules, regulations, and policies, etc. A Tort Agent may also: Negotiate settlement of claims. Work with recipients, attorneys, and insurance companies to pursue debts owed to the State of Utah. Provide customer service for clients/customers in various state agencies and private companies. Maintain proficient computer skills in various state systems and online resources. Reviews Medicaid paid claims information maintained in state computer systems and using knowledge of state and federal statute and insurance coverage and practices; files appropriate claims to reimburse the Medicaid program. Maintain accurate computer system accounting records for medical debts to ensure that receipts are posted in accordance with established state business practices. Qualifications Proficient research skills. Efficient problem solving. Good attention to detail. Proficiency in a technologically driven environment with intermediate to advanced computer skills. Exceptional ability to multi-task and quickly make decisions. Strong customer service skills. Excellent communication skills with an ability to assist people in a manner which shows sensitivity, tact and professionalism. Preferred or trainable/on-the-job qualifications: Preference may be given to candidates who have a minimum of 1 year of experience in a medical or legal field. About the Role Location – 4315 S 2700 W, Taylorsville, UT 84129 Background Check Required – You must successfully pass a criminal history check. Drug Test Required – No Schedule Code – B - Competitive Career Service -Employment in this position requires a probationary period Why You Should Join Our Team In Utah, we believe hard work is important, but balance is essential. Finding work/life balance is a vital element to our culture. To find out more about WHY Utah , click here . Other benefits may include: Job Stability: Enjoy the security and reliability of employment within a well-established organization. Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization. Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals. Supportive Work Environment: Be part of a team that values cooperation, strong work ethics, and mutual support. The Agency The primary mission of Utah Office of Recovery Services is to promote responsibility. We help ensure that parents are financially responsible for their children by providing child support services and support for children in care. We also help ensure public funds are used appropriately through our Medicaid Recovery efforts. For more information, click here! EEO Statement The State of Utah is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. For accommodations, please contact (801) 957-9390. Supplemental Information Only individuals invited to interview will be notified. All applications must be submitted online. Resumes emailed or faxed will not be accepted as an application. The applicant chosen to fill this position may have access and exposure to Federal Tax Information (FTI), Health Insurance Portability and Accountability Act (HIPAA) information, Criminal Justice Information (CJI), and other confidential information as defined by 45 CFR 303.21(a). Unauthorized access, use or disclosure is subject to federal and state penalties, fines, and disciplinary actions.