Medical Claims Recovery Specialist

About the Role We are seeking a Medical Claims Recovery Specialist to manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid beneficiaries. This role covers intake, maintenance, claims review, case management, settlement, and related activities within the assigned caseload. You will ensure HIPAA compliance and leverage analytical and case management skills to oversee a large volume of subrogation cases. What You'll Do

• Manage intake, maintenance, claims review, case management, settlement, and related activities for Medicaid-related subrogation cases (casualty and estate).
• Ensure HIPAA and government security requirements for PHI.
• Use analytical and case management skills to oversee 700–1,000 subrogation cases concurrently.
• Communicate professionally with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients via calls and required correspondence.
• Prepare and manage correspondence, liens, claims, and related documentation; resolve disputes; negotiate settlements within contract guidelines.
• Verify beneficiary eligibility; confirm third-party liability, probate, and asset research findings; compile information from multiple sources.
• File notarized documents with applicable county offices; manage deadlines and revenue-impacting milestones; maintain accuracy and productivity metrics. What We're Looking For
• 2+ years of relevant professional experience in subrogation, claims, or case management.
• Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access preferred.
• Experience in a legal or insurance office setting (paralegal, legal assistant, casualty, or health insurance experience preferred).
• Familiarity with Medicaid and/or Medicare programs preferred. Nice to Have
• Additional optional qualifications related to legal or insurance support roles; familiarity with notary processes and probate processes. Compensation & Benefits
• Salary range: $30,500.00 - $43,500.00 per year (base pay may vary by region and experience).
• Benefits include generous paid vacation, 401(k) employer match, comprehensive health benefits, and educational assistance. Facilities include leadership and technical development academies.