Case Management, Associate

About the role

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. As a Case Management Associate 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.

Responsibilities

• Manage a high-volume caseload (700–1,000 subrogation cases), analyzing data, documenting activity, and driving recovery outcomes through negotiation and resolution
• Ensure compliance with HIPAA and government regulations related to the handling, storage, and sharing of PHI
• Communicate professionally with attorneys, insurance adjusters, providers, court personnel, clients, and beneficiaries to advance case resolution
• Prepare, review, and process case documentation (e.g., claims, liens, correspondence), including legal research and validation of case details
• Investigate and verify third-party liability, eligibility, probate, and financial information using multiple data sources
• Prioritize deadlines, resolve disputes, conduct follow-ups, and consistently meet productivity, quality, and customer service performance metrics

Requirements

• HS Diploma/GED required
• Minimum of 2 years of relevant experience

Qualifications

• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) required

Skills

• Experience in a legal office (paralegal or legal assistant) preferred
• Experience in the insurance industry (casualty or health insurance) preferred
• Knowledge of Medicaid and/or Medicare preferred
• Basic knowledge of Microsoft Access preferred

Benefits

• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership and technical development academies to build skills and capabilities

Pay

The pay range for this position is $35,000.00 - $50,000.00 per year; however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Schedule

Remote, hybrid, or onsite work depending on business and client needs.