NEOGOV · 19 hours ago
Casualty Case Manager (MAS3/AHSO)
Thurston County – Olympia, WA
Full-time
Hybrid
Entry, Mid Level
$47K/yr - $63K/yr
1+ years expNEOGOV is part of the State of Washington's Health Care Authority, focusing on health care services. The Casualty Case Manager role involves managing complex cases to recover funding for Medicaid clients who have experienced personal injuries, requiring strong investigative and communication skills.
GovTechHuman ResourcesInformation TechnologySoftware
No H1B
Responsibilities
Manage assigned casualty case files and shepherd them through the recovery process from initiation through satisfaction of final lien amount and/or case resolution
Investigate leads and perform a technical review of recovery resources; claims adjudication, case discovery, and collection of all related medical documentation to compile a legal case file. Carefully document case details using ProviderOne and other programs
Determine third party financial responsibility and make decisions representing the department’s interest
Evaluate, prioritize, and determine collectability of tort claims
Verify client and defendant casualty insurance coverage and claim status
Review claims ledger to correlate diagnostic coding, procedural coding, and services performed by qualified healthcare providers with the injuries sustained
Extract pertinent information from medical records and claims to ensure case integrity and optimal reimbursement
Access a variety of additional programs including, but not limited to: ProviderOne, Application Xtender/Document Manager, ACES, Excel, Word, SSPS, TPX/LINIIS, and Barcode
Receive notice from attorneys, investigate and examine accident information, identify and pursue third party sources of recovery. Order and utilize collision reports from Washington State Patrol (WSP) to abstract information that supports the case and seek other unreported injured clients
File statutory liens with counties to enforce the agency’s subrogated interest in tort settlement funds and files release of lien upon resolution
Monitor, track, and complete detailed documentation for all file types in Casualty Files; a web service database, to prepare litigation cases for Tort Recovery Advisor (TRA) and/or Assistant Attorney General for future possible court action
Serve as the agency point of contact for all personal injury cases and provide information and strategies that defend the department’s position in third party cases
Review and maintain Special Needs Trust cases, compile data from multiple sources and summarize calculations to update claims payment ledger, and maintain annual contact with Trustees
If licensed as a Notary Public in Washington State, notarize liens and releases for Casualty Unit
Qualification
Required
Bachelor's degree and One year of experience as defined below
Associate degree and Three years of experience as defined below
Certificate of Medical Billing and Coding or closely related certificate program and Three years of experience as defined below
Five years of experience as defined below
One year as a Medical Assistance Specialist 2
providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits
public assistance eligibility determination
health insurance premiums/claims processing, adjusting, and investigation
other medical premiums/claims/eligibility related experience
experience researching and analyzing complex rules, regulations and policies to make determinations and resolve problems while providing direct customer service
The ability to take action to learn and grow
The ability to take action to meet the needs of others
Preferred
Knowledge of Medical terminology, anatomy, procedure and diagnosis codes, and pharmaceutical usage
Knowledge of Medical billing and insurance claim processes
Knowledge of Tort law and legal terminology
Demonstrated experience with researching and investigating complex issues to come to a resolution
Demonstrated experience with working independently in a role that involves critical thinking, a wide range of technical duties, and independent decision making
Demonstrated experience with writing in a role that requires accurately documenting information to be used by teammates or other parties, e.g. case files, client information, numerical data, and/or something similar
Demonstrated experience with communication over the phone with professionals such as attorneys, insurance companies, medical professionals, or similar
Demonstrated experience with Microsoft Office products, or similar software, including Excel and Outlook
Strong oral and written communication skills while providing excellent customer service
Demonstrated ability to analyze medical and accident information and make appropriate determinations
Demonstrated ability to understand and apply procedures, policies, and guidelines
Demonstrated ability to learn new and/or increasingly complex duties
Benefits
Medical (including vision), dental and basic life insurance
Medical flexible spending account
Basic life and long-term disability insurance
Dependent care assistance
Washington State Employee Assistance Program
Washington Public Employees' Retirement System (PERS)
Deferred Compensation Program
Public Service Loan Forgiveness
Paid holidays and one paid personal holiday per calendar year
Sick leave
Vacation leave
Military Leave
Bereavement Leave
Leave Sharing
Parental Leave
Family and Medical Leave Act (FMLA)
Leave Without Pay
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
Company data provided by crunchbase