Case Management, Associate

BCforward is currently seeking a highly motivated Case Management, Associate - Hybrid in Albany, NY 12211.

Position Title: Case Management, Associate - Hybrid

Location: Albany, NY 12211

Anticipated Start Date: 2/13/2026
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 6+ Months Contract

Job Type: (40+ HOURS WEEKLY], [CONTRACT], [HYBRID]

Pay Range: $35.00/hr to $38.40/hr
Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Job Description:

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. Youll 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
We are seeking a talented individual for a Subrogation Specialist who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case.

Your Role in Our Mission
* Ensure all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information).
* Utilize complex analytical skills to manage subrogation cases, notate files and negotiate settlements on 700 - 1,000 cases at a time
* Interact professionally, primarily using incoming and outgoing calls, with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and clients
* Prepare required correspondence, liens, claims and other related documents to progress the case to recovery.
* Meet department objective standards for Customer Service, settlement goals and file handling guidelines.
* Perform basic and advanced levels of document review to identify current case status, legal research, and case management and ensure case progress through workflow
* Confirm documentation of eligibility for beneficiaries.
* Conduct all case document review and updates as needed.
* Confirm and validate third party liability and, probate and beneficiary asset research.
* Compile, analyze and make conclusions about case information and status from multiple sources.
* Process all claim/lien disputes and review claims with attorneys and other stakeholders.
* Conduct outgoing periodic follow up on case status and payment.
* Negotiate and compromise claim/lien settlement amounts per contract guidelines.
* Sign and file notarized documents with counties on applicable cases
* Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are revenue impacting.
* Meet file handling and phone call metrics related to each case.

What We're Looking For
* Medicaid and/or Medicare knowledge preferred.
* Ability to interact with all levels of people both internally and externally in a professional manner.
* Ability to be careful and thorough about detail including with cite-checking and proofreading skills.
* Ability to multi-task and prioritize effectively.
* Knowledge of Microsoft Word and Excel required
* Ability to work proficiently with Microsoft Office, PowerPoint, Word, and Excel required.
* Basic knowledge of Microsoft Access preferred.
* Ability to work independently to meet objectives.
* Ability to analyze information and use logic to address work-related issues and problems.
* Ability to perform well in team environment, to achieve business goals.
* Ability to maintain a high level of confidentiality and ethics.
* Ability to handle pressure and manage deadline oriented project demands and multiple initiatives.
* 2 years of relevant experience
* Experience in a Legal office preferred; paralegal or legal assistant and/or experience in the insurance industry (casualty or health insurance) preferred

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 250084 when responding to this ad.