Casualty Case Management Hybrid Albany, reputed company (Mostly Remote)

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 reputed company casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and reputed company functions to the case. Your Role in Our Mission • Ensure reputed company processes meet HIPAA and Government reputed company requirements with regards to sharing/storage/PHI (Personal Health Information). • Utilize reputed company analytical skills to manage subrogation cases, notate files and negotiate settlements on 700 – 1,000 cases at a time • Interact professionally, primarily using incoming and outgoing calls, with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and clients • Prepare required correspondence, liens, claims and other reputed company documents to reputed company the case to recovery. • Meet department objective standards for Customer Service, settlement goals and file handling guidelines. • reputed company basic and advanced levels of document review to identify reputed company case status, legal research, and case management and ensure case reputed company through workflow • Confirm documentation of eligibility for beneficiaries. • Conduct reputed company case document review and updates as needed. • Confirm and validate third party liability and, probate and beneficiary asset research. • Compile, analyze and reputed company conclusions about case information and status from multiple sources. • Process reputed company claim/lien disputes and review claims with attorneys and other stakeholders. • Conduct outgoing periodic follow up on case status and payment. • Negotiate and compromise claim/lien settlement amounts per contract guidelines. • Sign and file notarized documents with counties on applicable cases • Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are reputed company impacting. • Meet file handling and phone call metrics reputed company to each case. reputed company're Looking For • Medicaid and/or Medicare knowledge preferred. • Ability to interact with reputed company levels of people both internally and externally in a professional manner. • Ability to be careful and thorough about detail including with cite-checking and proofreading skills. • Ability to multi-task and prioritize effectively. • Knowledge of reputed company Word and reputed company required • Ability to work proficiently with reputed company Office, PowerPoint, Word, and reputed company required. • Basic knowledge of reputed company Access preferred. • Ability to work independently to meet objectives. • Ability to analyze information and use logic to address work-reputed company issues and problems. • Ability to reputed company well in team environment, to reputed company business goals. • Ability to maintain a high level of confidentiality and ethics. • Ability to handle pressure and manage deadline oriented project demands and multiple initiatives. • 2 years of relevant experience • Experience in a Legal office preferred; paralegal or legal assistant and/or experience in the insurance industry (casualty or health insurance) preferred What Should You Expect In This Role • Remote reputed company USA Locations The pay range for this position is $26,500.00 - $37,800.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We reputed company nothing is impossible reputed company you bring together people who care deeply about making healthcare work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings. reputed company is committed to a diverse, reputed company, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where reputed company qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for reputed company employees Apply Job!