Claims Recovery Specialist (Subrogation) - Albany, NY - Hybrid

Gainwell Technologies LLC•Any city, OH

8d•$35,000 - $50,000•Hybrid

About The Position

Gainwell Technologies is hiring a Claims Recovery Specialist focused on subrogation. The specialist manages a high-volume caseload of approximately 700–1,000 cases, analyzes and documents case information, and works toward recovery through negotiation and resolution. The role includes investigating third-party liability and validating eligibility, probate, and financial information; preparing and processing case materials; and communicating with parties involved in resolving claims. The specialist must handle protected health information in compliance with HIPAA and applicable government regulations, while meeting deadlines and performance standards for productivity, quality, and customer service. The position is primarily remote, but candidates must live in New York State within reasonable commuting distance of the Albany office and be able to work onsite at least two days per month for meetings or training. A broadband connection with at least 24 Mbps download and 8 Mbps upload is required for telework. Cameras are required during interviews and the first week of orientation.

Requirements

High school diploma or GED.
At least 2 years of relevant professional experience.
Proficiency with Microsoft Office applications, including Word, Excel, and Access.
Reside in New York State and be within reasonable commuting distance of the Albany office.
Be able to work onsite at least two days per month.
Have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload.

Nice To Haves

Relevant experience in a legal office, paralegal or legal assistant role, or the health or casualty insurance industry.
Working knowledge of Medicaid and/or Medicare programs.
Prior experience in a legal environment and/or the insurance industry.

Responsibilities

Manage a high-volume caseload of 700–1,000 subrogation cases, analyzing data, documenting activity, and driving recovery outcomes through negotiation and resolution.
Ensure compliance with HIPAA and government regulations regarding the handling, storage, and sharing of protected health information.
Communicate professionally with attorneys, insurance adjusters, providers, court personnel, clients, and beneficiaries to advance case resolution.
Prepare, review, and process case documentation, including claims, liens, and correspondence; conduct legal research and validate 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 performance metrics.