Case Management, Associate
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Job Location:
Tallahassee, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
Description:
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility learning and career development.
Summary
We are seeking a talented individual for a Subrogation Specialist who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake maintenance claims review and selection management settlement and related functions to the case.
Your Role in Our Mission
Ensure all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information).
Utilize complex analytical skills to manage subrogation cases notate files and negotiate settlements oncases at a time
Interact professionally primarily using incoming and outgoing calls with attorneys insurance adjusters medical providers court staff recipients and family members and clients
Prepare required correspondence liens claims and other related documents to progress the case to recovery.
Meet department objective standards for Customer Service settlement goals and file handling guidelines.
Perform basic and advanced levels of document review to identify current case status legal research and case management and ensure case progress through workflow
Confirm documentation of eligibility for beneficiaries.
Conduct all case document review and updates as needed.
Confirm and validate third party liability and probate and beneficiary asset research.
Compile analyze and make conclusions about case information and status from multiple sources.
Process all claim/lien disputes and review claims with attorneys and other stakeholders.
Conduct outgoing periodic follow up on case status and payment.
Negotiate and compromise claim/lien settlement amounts per contract guidelines.
Sign and file notarized documents with counties on applicable cases
Prioritize case events and critical case payment/recovery issues while meeting various internal and legal deadlines that are revenue impacting.
Meet file handling and phone call metrics related to each case.
What Were Looking For
Medicaid and/or Medicare knowledge preferred.
Ability to interact with all levels of people both internally and externally in a professional manner.
Ability to be careful and thorough about detail including with cite-checking and proofreading skills.
Ability to multi-task and prioritize effectively.
Knowledge of Microsoft Word and Excel required
Ability to work proficiently with Microsoft Office PowerPoint Word and Excel required.
Basic knowledge of Microsoft Access preferred.
Ability to work independently to meet objectives.
Ability to analyze information and use logic to address work-related issues and problems.
Ability to perform well in team environment to achieve business goals.
Ability to maintain a high level of confidentiality and ethics.
Ability to handle pressure and manage deadline oriented project demands and multiple initiatives.
2 years of relevant experience
Experience in a Legal office preferred; paralegal or legal assistant and/or experience in the insurance industry (casualty or health insurance) preferred
What Should you Expect in this Role
Hybrid Albany New York
#LI-NA1
#LI-Hybrid
Summary
We are seeking a talented individual for a Subrogation Specialist who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake maintenance claims review and selection management settlement and related functions to the case.
Your Role in Our Mission
Ensure all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information).
Utilize complex analytical skills to manage subrogation cases notate files and negotiate settlements oncases at a time
Interact professionally primarily using incoming and outgoing calls with attorneys insurance adjusters medical providers court staff recipients and family members and clients
Prepare required correspondence liens claims and other related documents to progress the case to recovery.
Meet department objective standards for Customer Service settlement goals and file handling guidelines.
Perform basic and advanced levels of document review to identify current case status legal research and case management and ensure case progress through workflow
Confirm documentation of eligibility for beneficiaries.
Conduct all case document review and updates as needed.
Confirm and validate third party liability and probate and beneficiary asset research.
Compile analyze and make conclusions about case information and status from multiple sources.
Process all claim/lien disputes and review claims with attorneys and other stakeholders.
Conduct outgoing periodic follow up on case status and payment.
Negotiate and compromise claim/lien settlement amounts per contract guidelines.
Sign and file notarized documents with counties on applicable cases
Prioritize case events and critical case payment/recovery issues while meeting various internal and legal deadlines that are revenue impacting.
Meet file handling and phone call metrics related to each case.
What Were Looking For
Medicaid and/or Medicare knowledge preferred.
Ability to interact with all levels of people both internally and externally in a professional manner.
Ability to be careful and thorough about detail including with cite-checking and proofreading skills.
Ability to multi-task and prioritize effectively.
Knowledge of Microsoft Word and Excel required
Ability to work proficiently with Microsoft Office PowerPoint Word and Excel required.
Basic knowledge of Microsoft Access preferred.
Ability to work independently to meet objectives.
Ability to analyze information and use logic to address work-related issues and problems.
Ability to perform well in team environment to achieve business goals.
Ability to maintain a high level of confidentiality and ethics.
Ability to handle pressure and manage deadline oriented project demands and multiple initiatives.
2 years of relevant experience
Experience in a Legal office preferred; paralegal or legal assistant and/or experience in the insurance industry (casualty or health insurance) preferred
What Should you Expect in this Role
Hybrid Albany New York
#LI-NA1
#LI-Hybrid
| Dress Code |
Additional Details
- Dress Code : Business Casual
- Client Interface Required : Yes
- Overtime Required : No
- Min Compliance Pay Rate : NA
- Max Compliance Pay Rate : 1001
Key Skills
- Portfolio Management
- Wealth Management
- Financial Services
- Hybris
- Microsoft Word
- Banking
- Cash Management
- Data Management
- Microsoft Powerpoint
- Securities Law
- Microsoft Excel
- Internet Of Things
