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Claims Recovery Specialist - Albany, NY - Hybrid

Gainwell Technologies · Albany, New York, US

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at...

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary: We are seeking a talented individual for a Subrogation Specialist who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case. Your role in our mission: - Ensure all processes comply with HIPAA and government security standards regarding the sharing, storage, and handling of Personal Health Information (PHI). - Manage a high-volume caseload of 700–1,000 subrogation cases using advanced analytical skills to notate files, negotiate settlements, and drive recovery outcomes. - Professionally engage with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients—primari...