TPL Casualty Business Analyst - HYBRID Indianapolis, IN

Gainwell • Indianapolis, IN

3d • Hybrid

About The Position

Gainwell is seeking a TPL Casualty Business Analyst to support Medicaid Third Party Liability operations. The role researches potential accident and trauma cases, determines whether recovery should be pursued, and manages cases through resolution and closure. It involves working with attorneys, insurance adjusters, internal teams, and other stakeholders; preparing and maintaining liens and related documentation; reviewing claims information; and supporting reporting, procedures, training, and operational activities.

The position is full-time and hybrid, with work at Gainwell Technologies’ Indianapolis location two times per week. The standard schedule is approximately 8:00 a.m. to 5:00 p.m. The analyst manages active casualty case files and works independently while collaborating regularly with stakeholders and leadership. Eligible employees may access Gainwell’s competitive benefits package, subject to applicable eligibility guidelines.

Requirements

• Bachelor’s degree or at least 5 years of related professional experience in casualty, subrogation, insurance claims, healthcare claims, legal services, case management, or a related field.
• Experience researching and managing casualty, subrogation, recovery, lien, insurance, or related case work.
• Experience communicating with attorneys, insurance adjusters, insurance carriers, healthcare organizations, or other external stakeholders.
• Strong analytical, research, problem-solving, written and verbal communication, time-management, and organizational skills.
• Intermediate to advanced Microsoft Word, Excel, and PowerPoint skills.

Nice To Haves

• Knowledge of Medicaid/IHCP eligibility.
• Experience with CoreMMIS.

Responsibilities

• Review and research potential accident, trauma, and casualty leads and make initial determinations about pursuit and recovery.
• Manage active casualty cases from initial review through follow-up, resolution, and case closure.
• Communicate with attorneys, insurance adjusters, and other stakeholders about case status, documentation, liens, and recovery activities.
• Prepare and file liens, lien amendments, and lien releases.
• Prepare recommendations related to lien-reduction requests.
• Review claims and case information.
• Prepare correspondence and reports and research casualty issues.
• Support standard operating procedures, operational procedures, training, and system-change activities.
• Manage case files involving research, claims review, correspondence, lien activity, reporting, and follow-up.

Benefits

• Medical, dental, and vision benefits for eligible employees, subject to applicable eligibility guidelines.
• 401(k) options for eligible employees, subject to applicable eligibility guidelines.
• Flexible vacation policy for salaried, full-time candidates.
• 401(k) employer match.
• Educational assistance.
• Leadership and technical development academies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level