Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona

Summary

HMS is hiring an Insurance Subrogation Case Specialist to join our growing team! In this role, you’ll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases.
If you have experience in insurance, healthcare claims, or call center operations—and you’re looking for a mostly remote position with career growth potential—this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient.

Your role in our mission

•    Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients.
•    Review and analyze insurance policies, claims, and case documentation.
•    Manage active subrogation case files and ensure all data is entered accurately and on time.
•    Communicate with insurance carriers, employers, and members to obtain and confirm coverage details.
•    Handle a high volume of inbound and outbound calls related to subrogation or claims.
•    Prepare and maintain reports on open cases, enrollment updates, and payment processing.
•    Support company goals for revenue recovery, accuracy, and program compliance.

What we're looking for

• High School Diploma/GED required. 
• 3-5 years of relevant professional experience in subrogation, claims, or case management.
• Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.    
• Experience in a legal or insurance office setting is preferred, such as paralegal, legal assistant, casualty, or health insurance experience. 
• Familiarity with Medicaid and/or Medicare programs is preferred. 

What you should expect in this role

•    Hybrid role – primarily remote with in-office presence certain days a week in Phoenix, AZ. 
•    Monday to Friday schedule from 8:00 AM - 5:00 PM
•    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 positions 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.

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.

The deadline to submit applications for this posting is July 18, 2026.

#LI-HYBRID #LI-JA1 #LI-CM1