Job Title: Case Management, Associate

Location: Remote (2 days a month onsite in Albany, NY)

Duration: Contract – 6 months

Job Description

Have strong experience in high-volume subrogation case management, legal documentation, and stakeholder communication and a proven ability to negotiate settlements, drive recoveries, and maintain compliance with HIPAA and security standards.

Responsibilities:

Comply with HIPAA and government security standards for handling PHI.
Manage a caseload of approximately 700–1,000 subrogation cases, including file notation, settlement negotiation, and recovery execution.
Engage professionally with attorneys, insurers, medical providers, court staff, clients, recipients, and family members via inbound and outbound calls.
Prepare and process correspondence, liens, claims, and case materials to advance resolutions.
Meet departmental standards for customer service, settlement targets, and file management.
Conduct document reviews, perform legal research, and progress cases through workflows on time.
Verify beneficiary eligibility and update case documentation.
Confirm third-party liability, probate details, and beneficiary assets through research.
Analyze data from multiple sources to determine case status and inform decisions.
Handle claim and lien disputes, collaborating with attorneys and stakeholders to resolve issues.
Perform periodic follow-ups on status and payment progress.
Negotiate and settle claim or lien amounts under contractual guidelines.
Execute and file notarized documents with county offices as applicable.
Prioritize critical events and revenue-impacting deadlines while maintaining legal and internal compliance.
Consistently meet productivity metrics for file handling and call volume.

Required Skills & Qualifications:

HS Diploma or GED.
Minimum 2 years of relevant experience in case management, claims, or a related discipline.
Proficiency in Microsoft Word, Excel, and PowerPoint.
Strong analytical and problem-solving abilities with attention to detail, cite-checking, and proofreading accuracy.
Effective communication skills with internal and external stakeholders across levels.
Ability to manage multiple priorities, meet deadlines, and perform under pressure while maintaining confidentiality and ethical standards.

Preferred Skills:

Knowledge of Medicaid and/or Medicare.
Basic knowledge of Microsoft Access.

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