Insurance Subrogation Case Specialist (Hybrid - Dublin, OH)

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

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

• 3–5 years of experience in insurance, healthcare, or government-sponsored programs.
• Experience handling customer service or call center inquiries (both inbound and outbound).
• Strong attention to detail and accuracy in data entry.
• Proficient with Microsoft Excel, Word, and internet research.
• Excellent communication, problem-solving, and organizational skills.
• Ability to work independently in a remote/hybrid environment.

What you should expect in this role

• Hybrid role – primarily remote with in-office presence 2 days per month in Dublin, Ohio.
• Monday to Friday schedule (daytime business hours).
• 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.
• To Test your internet download and upload speed:
  • Go to Google.
  • Search for Internet Speed Test or click here.

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The pay range for this position is $43,800.00 - $62,500.00 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.