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

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 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.

Your role in our mission

As a Subrogation Specialist, you will:

• 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.

What we're looking for

• 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.
• 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.
• Strong interpersonal skills with the ability to interact professionally across all organizational levels and with external stakeholders.

What you should expect in this role

• This is an onsite position located in Little Rock, Arkansas.
• Work schedule is Monday - Friday, from 8:00 AM - 5:00 PM.
• Video cameras are required during all interviews and throughout the first week of orientation.

Employee Benefits & Perks:

• 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.
• Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.

#LI-ONSITE #LI-JA1 #LI-CM1

The pay range for this position is $32,700.00 - $46,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.