Claims Recovery Specialist (Subrogation) - Albany, NY - Hybrid

About the role

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

• High School Diploma or GED required
• Minimum of 2 years of relevant professional experience, preferably in a legal office, paralegal/legal assistant role, or within the health or casualty insurance industry
• Proficiency in Microsoft Office applications, including Word, Excel, and Access, with the ability to effectively utilize these tools to support daily business operations
• Working knowledge of Medicaid and/or Medicare programs preferred
• Prior experience in a legal environment and/or the insurance industry preferred

Schedule & location

This position is primarily remote; however, candidates must reside in New York State and be able to report to the Albany, NY office up to two (2) times per month for in-person meetings or training sessions as required. Employees must be able to work onsite at least two days per month and live within a reasonable commuting distance of the office.

Video cameras must be used during all interviews, as well as during the initial week of orientation. To work effectively as a teleworker or hybrid position with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.

Application deadline: October 27, 2026.

Pay

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

Benefits

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