Gainwell Technologies · 2 days ago
Claims Recovery Specialist (Subrogation) - Little Rock, AR (Onsite)
Gainwell Technologies is a company that values contributions and offers opportunities for career development. They are seeking a detail-oriented Subrogation Specialist to manage casualty and estate-related functions for Medicaid beneficiaries, focusing on comprehensive case management across multiple jurisdictions.
Responsibilities
Ensure all processes comply with HIPAA and government security standards regarding the handling and storage of Protected Health Information (PHI)
Manage a high-volume caseload (700–1,000 cases), applying advanced analytical skills to track, notate, and negotiate settlements
Communicate professionally via inbound and outbound calls with attorneys, insurance adjusters, medical providers, court personnel, recipients, family members, and clients
Prepare and process correspondence, liens, claims, and other documentation to support case recovery
Meet departmental standards for customer service, settlement goals, and file handling
Conduct legal research and document reviews to assess case status and ensure workflow progression
Verify beneficiary eligibility and update case documentation as needed
Research and validate third-party liability, probate matters, and beneficiary assets
Analyze case data from multiple sources to determine status and next steps
Handle claim/lien disputes and collaborate with attorneys and stakeholders for resolution
Perform periodic follow-ups on case status and payments
Negotiate and settle claims/liens in accordance with contractual guidelines
Prepare, sign, and file notarized documents with county offices as applicable
Prioritize critical case events and payment/recovery issues while meeting internal and legal deadlines
Maintain performance metrics related to file handling and call volume
Exceptional attention to detail, including cite-checking and proofreading
Ability to manage multiple tasks and prioritize effectively in a fast-paced environment
Demonstrated ability to work independently and meet objectives with minimal supervision
Strong analytical and problem-solving skills
Team-oriented mindset with a commitment to achieving shared business goals
High level of integrity and ability to maintain confidentiality
Capacity to perform under pressure and manage multiple deadline-driven initiatives
Qualification
Required
Minimum of two (2) years of relevant professional experience
Proficiency in Microsoft Word and Excel is required
Exceptional attention to detail, including cite-checking and proofreading
Ability to manage multiple tasks and prioritize effectively in a fast-paced environment
Demonstrated ability to work independently and meet objectives with minimal supervision
Strong analytical and problem-solving skills
Team-oriented mindset with a commitment to achieving shared business goals
High level of integrity and ability to maintain confidentiality
Capacity to perform under pressure and manage multiple deadline-driven initiatives
Ensure all processes comply with HIPAA and government security standards regarding the handling and storage of Protected Health Information (PHI)
Manage a high-volume caseload (700–1,000 cases), applying advanced analytical skills to track, notate, and negotiate settlements
Communicate professionally via inbound and outbound calls with attorneys, insurance adjusters, medical providers, court personnel, recipients, family members, and clients
Prepare and process correspondence, liens, claims, and other documentation to support case recovery
Meet departmental standards for customer service, settlement goals, and file handling
Conduct legal research and document reviews to assess case status and ensure workflow progression
Verify beneficiary eligibility and update case documentation as needed
Research and validate third-party liability, probate matters, and beneficiary assets
Analyze case data from multiple sources to determine status and next steps
Handle claim/lien disputes and collaborate with attorneys and stakeholders for resolution
Perform periodic follow-ups on case status and payments
Negotiate and settle claims/liens in accordance with contractual guidelines
Prepare, sign, and file notarized documents with county offices as applicable
Prioritize critical case events and payment/recovery issues while meeting internal and legal deadlines
Maintain performance metrics related to file handling and call volume
Preferred
Familiarity with PowerPoint and basic knowledge of Microsoft Access is preferred
Experience in a legal office setting (e.g., paralegal or legal assistant) is preferred
Background in the insurance industry—particularly in casualty or health insurance—is highly desirable
Working knowledge of Medicaid and/or Medicare is preferred
Strong interpersonal skills with the ability to interact professionally across all organizational levels and with external stakeholders
Benefits
Health benefits (medical, dental, and vision) begin on Day 1 of employment.
401(k) with company match and additional benefits become available within the first few months.
Employees can take advantage of the flexible vacation policy after 90 days of employment.
Career growth and advancement opportunities are encouraged and supported.
A company-provided computer is supplied for work use.
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
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