Subrogation Specialist

Job Description

Claims Recovery Specialist | Gainwell Technologies

The Tone:
This is a hybrid role at Gainwell Technologies, located in Albany, NY. Gainwell Technologies is a company dedicated to solving business challenges and enhancing operations in the healthcare sector, particularly focused on making healthcare work better for everyone. This Subrogation Specialist position is crucial for managing casualty and estate functions related to state and deceased Medicaid beneficiaries, ensuring compliance and driving recovery outcomes.

The TL;DR
• Role: Early Career
• Type: Full-time
• Location: Hybrid, Albany, NY
• Pay: $40000–$50000 yearly
• Mission: Responsible for processing all casualty or estate functions involving state or deceased Medicaid beneficiaries, from intake to settlement.
• Tech Stack: Microsoft Office Suite (Word, Excel, PowerPoint)

What You’ll Actually Do
• Case Management: Oversee a high volume of 700–1,000 subrogation cases, conducting analytical reviews to notate files and drive recovery outcomes.
• Stakeholder Engagement: Professionally interact with attorneys, insurance adjusters, medical providers, and family members, primarily through inbound and outbound calls.
• Documentation & Filing: Prepare and process all necessary documentation, including correspondence, liens, and claims, and execute and file notarized documents.
• Settlement Negotiation: Negotiate and settle claim or lien amounts in accordance with established contractual guidelines.
• Compliance & Prioritization: Ensure all processes comply with HIPAA and government security standards, while prioritizing critical case events and revenue-impacting deadlines.

The Must-Haves
• Background: High School Diploma/GED required, with a focus on processing functions related to Medicaid beneficiaries.
• Experience: Minimum of 2 years of relevant experience in a related field.
• Skills: Proficiency in Microsoft Office Suite, strong analytical and problem-solving abilities, professional communication skills, and exceptional attention to detail.
• Bonus: Experience in a legal office (paralegal or legal assistant) or the insurance industry (casualty or health insurance), knowledge of Medicaid and/or Medicare, and basic knowledge of Microsoft Access.