Remote Subrogation Claims Specialist Recovery&Negotiation

Gainwell Technologies

New York (NY)

Hybrid

USD 35,000 - 50,000

Full time

4 days ago
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Benefits offered by this job

Generous vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance

Job summary

Gainwell Technologies in Albany, NY is seeking a Claims Recovery Specialist (Subrogation) to manage a high-volume caseload and drive recovery outcomes through negotiation and research.

You will work primarily remote with occasional onsite visits to Albany, NY; candidates must reside in New York and be able to report to the office as needed. HIPAA compliance and strong Microsoft Office skills are required.

Qualifications

  • High School Diploma or GED required.
  • Minimum of 2 years of relevant professional experience in a legal office, paralegal/legal assistant role, or within health or casualty insurance.
  • Proficiency in Microsoft Office applications (Word, Excel, Access) to support daily operations.
  • Working knowledge of Medicaid and/or Medicare programs preferred.
  • Prior experience in a legal environment and/or the insurance industry preferred.

Responsibilities

  • Manage a high-volume caseload (700–1,000 subrogation cases), analyze data, document activity, and drive recovery outcomes through negotiation and resolution.
  • Ensure compliance with HIPAA and government regulations related to PHI handling, storage, and sharing.
  • Communicate with attorneys, insurance adjusters, providers, court personnel, clients, and beneficiaries to advance case resolution.
  • Prepare, review, and process case documentation (claims, liens, correspondence), including legal research and validation of case details.
  • Investigate and verify third-party liability, eligibility, probate, and financial information using multiple data sources.
  • Prioritize deadlines, resolve disputes, conduct follow-ups, and meet productivity, quality, and customer service metrics.

Skills

Case management
Data analysis
Negotiation

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Gainwell Technologies in Albany, NY is seeking a Claims Recovery Specialist (Subrogation) to manage a high-volume caseload and drive recovery outcomes through negotiation and research.

You will work primarily remote with occasional onsite visits to Albany, NY; candidates must reside in New York and be able to report to the office as needed. HIPAA compliance and strong Microsoft Office skills are required.

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