Case Management, Associate

Gainwell Technologies LLC•Any city, OH

3d•$35,000 - $50,000•Hybrid

About The Position

As a Case Management, Associate at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Requirements

HS Diploma/GED Required.
Minimum of 2 years of relevant experience.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) required.

Nice To Haves

Experience in a legal office (paralegal or legal assistant) and/or in the insurance industry (casualty or health insurance) preferred.
Knowledge of Medicaid and/or Medicare preferred.
Basic knowledge of Microsoft Access preferred.

Responsibilities

Manage a high-volume caseload (700–1,000 subrogation cases), analyzing data, documenting activity, and driving recovery outcomes through negotiation and resolution
Ensure compliance with HIPAA and government regulations related to the handling, storage, and sharing of PHI
Communicate professionally with attorneys, insurance adjusters, providers, court personnel, clients, and beneficiaries to advance case resolution
Prepare, review, and process case documentation (e.g., 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 consistently meet productivity, quality, and customer service performance metrics