Insurance Subrogation Case Specialist (Hybrid - Dublin, OH)

Gainwell Technologies LLC•Any city, OH

3d•$43,800 - $62,500•Hybrid

About The Position

HMS is hiring an Insurance Subrogation Case Specialist to join our growing team! In this role, you’ll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases. If you have experience in insurance, healthcare claims, or call center operations—and you’re looking for a mostly remote position with career growth potential—this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient.

Requirements

3–5 years of experience in insurance, healthcare, or government-sponsored programs.
Experience handling customer service or call center inquiries (both inbound and outbound).
Strong attention to detail and accuracy in data entry.
Proficient with Microsoft Excel, Word, and internet research.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently in a remote/hybrid environment.

Responsibilities

Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients.
Review and analyze insurance policies, claims, and case documentation.
Manage active subrogation case files and ensure all data is entered accurately and on time.
Communicate with insurance carriers, employers, and members to obtain and confirm coverage details.
Handle a high volume of inbound and outbound calls related to subrogation or claims.
Prepare and maintain reports on open cases, enrollment updates, and payment processing.
Support company goals for revenue recovery, accuracy, and program compliance.