Remote Insurance Subrogation Case Specialist

Gainwell Technologies; Ohio; Hybrid; USD 44,000 - 63,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is hiring an Insurance Subrogation Case Specialist to join our growing team. In this role, you’ll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases.

If you have experience in insurance, healthcare claims, or call center operations—and you’re looking for a mostly remote position with career growth potential—this is a great opportunity to join a mission-driven organization that helps make

Qualifications

• 3–5 years of experience in insurance, healthcare, or government-sponsored programs.
• Experience handling customer service or call center inquiries (inbound and outbound).
• Strong attention to detail and accuracy in data entry.
• Proficient with Microsoft Excel, Word, and internet research.
• Excellent communication, problem-solving, and organizational skills.
• Ability to work independently in a remote/hybrid environment.

Responsibilities

• Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients.
• Review and analyze insurance policies, claims, and case documentation.
• Manage active subrogation case files and ensure all data is entered accurately and on time.
• Communicate with insurance carriers, employers, and members to obtain and confirm coverage details.
• Handle a high volume of inbound and outbound calls related to subrogation or claims.
• Prepare and maintain reports on open cases, enrollment updates, and payment processing.
• Support company goals for revenue recovery, accuracy, and program compliance.

Skills

Attention to detail

Communication skills

Problem-solving

Organizational skills

Independent work

Remote work ability

Tools

Microsoft Excel

Microsoft Word

Internet research

Job description

Gainwell Technologies is hiring an Insurance Subrogation Case Specialist to join our growing team. In this role, you’ll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases.

If you have experience in insurance, healthcare claims, or call center operations—and you’re looking for a mostly remote position with career growth potential—this is a great opportunity to join a mission-driven organization that helps make