Claims Examiner/ Caseworker (Onsite Montgomery AL.)

Date: Apr 4, 2024

Location:

Montgomery, AL, US, 36106

Req ID: 24076

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

The role of the caseworker is to ensure that day-to-day operations are followed and productivity is maintained. Caseworker’s responsibilities will include Intake, Valuing and the daily operations of the case.

Your role in our mission

Maintain check log database to ensure incoming checks are posted and credited to HMS
Review case aging report and distribute to staff for case follow up
Post checks to Case Management System
Contact attorneys for status of cases pending payment/settlement
Oversee staff and production to ensure monthly recovery goals are attained
Ensures staff follows established policies and procedures for the Unit
Maintain HIPAA adherence and quality assurance of Unit
Perform basic and advanced levels of document review, legal research and case management
Provides feedback to Unit Supervisor on daily operations
Prepare Subrogation Notice correspondence for liable third parties
Generate itemizations of claims for liable third parties when requested; obtain proper medical authorization for release of records
Notify TPL of changes in interest
Review medical service questionnaires
Process medical record requests from Providers, Attorneys and recipients.
Other duties relating to office maintenance may be assigned

What we're looking for

Good analytical and problem solving skills
Good interpersonal skills to interact with team members
Good communication skills to communicate with clients
Good negotiation skills to interact with claimant
Ability to keep sensitive and confidential material private
Ability to work in a team environment

What you should expect in this role

Office Environment
#LI- Onsite
#LI - NA1

The pay range for this position is $32,700.00 - $46,700.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.