Legal Case Specialist - Irving, TX

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

As a Legal Case Specialist - Irving, TX at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.

Your role in our mission

• Professionally handle incoming and outgoing calls with attorneys, court staff, clients, recipients, and family members.
• Manage and maintain a variety of cases with accurate and up-to-date notes from creation to recovery.
• Research and verify third-party liability, probate, and beneficiary assets.
• Prepare and submit correspondence, liens, claims, and other legal documents.
• Negotiate and settle claim or lien amounts in accordance with contract guidelines.
• Resolve claim disputes and collaborate with attorneys and stakeholders to ensure timely progress.
• Conduct follow-ups on case status and payment updates.
• Analyze case information from multiple sources to draw informed conclusions.
• Prioritize critical events and ensure all internal and legal deadlines are met.

What we're looking for

• High School Diploma or GED required;
• Paralegal certificate/degree, or equivalent relevant work experience required.
• Minimum of three (3) years of experience in legal support, case management, healthcare claims, customer service, Medicaid support, or a related field required.
• Experience as a legal assistant, caseworker, paralegal, claims specialist, or administrative support professional preferred.
• Knowledge of Medicaid, Medicare, healthcare claims, legal documentation, or case processing preferred.
• Proficiency in Microsoft Outlook, Word, and Excel required, with strong organizational, communication, and customer service skills.

What you should expect in this role

• Intially, employees are expected to work onsite full-time.
• The role includes a mandatory two-month onsite training period.
• The work and training schedule is Monday through Friday, 8:00 AM to 5:00 PM.
• Employees may become eligible for a hybrid work schedule after successfully completing training and consistently meeting performance expectations. Hybrid work arrangements are based on business needs and manager approval and are not guaranteed.
• Video participation is required for all interviews and during the first week of orientation.What you should expect in this role.

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.

This posting is intended for pipelining. We will accept applications on an ongoing basis.

#LI-HYBRID #LI-JA1 #LI-CM1

The pay range for this position is $42,000 - $47,850 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.