Medical Claims Recovery Specialist (Subrogation) - Little Rock, AR (Onsite)

Gainwell Technologies LLC • Little Rock, AR

7d • $32,700 - $46,700 • Onsite

About The Position

We are seeking a detail-oriented and driven Subrogation Specialist to manage casualty and estate-related functions for Medicaid beneficiaries, including those who are deceased. This role involves comprehensive case management—from intake and claims review to settlement and recovery—across multiple jurisdictions and stakeholders.

Requirements

• Minimum of two (2) years of relevant professional experience.
• Proficiency in Microsoft Word and Excel is required; familiarity with PowerPoint and basic knowledge of Microsoft Access is preferred.
• Strong interpersonal skills with the ability to interact professionally across all organizational levels and with external stakeholders.

Nice To Haves

• Experience in a legal office setting (e.g., paralegal or legal assistant) is preferred.
• Background in the insurance industry—particularly in casualty or health insurance—is highly desirable.
• Working knowledge of Medicaid and/or Medicare is preferred.

Responsibilities

• Ensure all processes comply with HIPAA and government security standards regarding the handling and storage of Protected Health Information (PHI).
• Manage a high-volume caseload (700–1,000 cases), applying advanced analytical skills to track, notate, and negotiate settlements.
• Communicate professionally via inbound and outbound calls with attorneys, insurance adjusters, medical providers, court personnel, recipients, family members, and clients.
• Prepare and process correspondence, liens, claims, and other documentation to support case recovery.
• Meet departmental standards for customer service, settlement goals, and file handling.
• Conduct legal research and document reviews to assess case status and ensure workflow progression.
• Verify beneficiary eligibility and update case documentation as needed.
• Research and validate third-party liability, probate matters, and beneficiary assets.
• Analyze case data from multiple sources to determine status and next steps.
• Handle claim/lien disputes and collaborate with attorneys and stakeholders for resolution.
• Perform periodic follow-ups on case status and payments.
• Negotiate and settle claims/liens in accordance with contractual guidelines.
• Prepare, sign, and file notarized documents with county offices as applicable.
• Prioritize critical case events and payment/recovery issues while meeting internal and legal deadlines.
• Maintain performance metrics related to file handling and call volume.
• Exceptional attention to detail, including cite-checking and proofreading.
• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Demonstrated ability to work independently and meet objectives with minimal supervision.
• Strong analytical and problem-solving skills.
• Team-oriented mindset with a commitment to achieving shared business goals.
• High level of integrity and ability to maintain confidentiality.
• Capacity to perform under pressure and manage multiple deadline-driven initiatives.

Benefits

• Health benefits (medical, dental, and vision) begin on Day 1 of employment.
• 401(k) with company match and additional benefits become available within the first few months.
• Flexible vacation policy after 90 days of employment.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.
• Educational assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed