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Insurance Subrogation Jobs in Florida (NOW HIRING)

Experience issuing insurance certificates and understands what they mean (what is an additional insured, Waiver of Subrogation, etc.) * Ability to read and interpret important documents * Ability to ...

Our Senior Trial Attorneys are seasoned litigation attorneys with significant civil litigation experience in property and casualty insurance defense or subrogation. As a Senior Trial Attorney, you'll ...

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Insurance Subrogation information

How does an Insurance Subrogation Specialist typically collaborate with other departments or external parties during the recovery process?

Insurance Subrogation Specialists frequently work closely with adjusters, claims examiners, legal teams, and sometimes external parties such as attorneys and representatives from other insurance companies. Their primary responsibility involves gathering documentation, analyzing claims, and negotiating settlements, which requires strong communication and coordination skills. Effective collaboration ensures the accurate exchange of information and expedites the recovery process, ultimately maximizing recoveries for their organization. Building strong professional relationships is key to overcoming common challenges such as delayed responses or disputed claims.

What is insurance subrogation?

Insurance subrogation is the process by which an insurance company seeks reimbursement from the at-fault party or their insurer after paying out a claim to its own policyholder. This typically occurs when an insurer has compensated its policyholder for damages or losses, and then pursues recovery from the responsible third party. Subrogation helps keep insurance costs down by ensuring that the party responsible for the loss ultimately pays for it. The policyholder may be required to cooperate with the insurer during the subrogation process, but usually does not need to take direct action themselves.

What is the difference between Insurance Subrogation vs Insurance Claims Adjuster?

AspectInsurance SubrogationInsurance Claims Adjuster
Primary RoleRecover funds from third parties after a claimAssess and settle insurance claims with policyholders
CredentialsKnowledge of insurance laws, negotiation skillsLicensing, claims handling certifications
Work EnvironmentLegal and insurance settings, often involving negotiationsInsurance companies, field and office work
Industry UsageInsurance, legal, recoveryInsurance, customer service

Insurance Subrogation focuses on recovering costs from third parties after a claim, while Insurance Claims Adjusters evaluate and settle claims directly with policyholders. Both roles require insurance knowledge and certifications but serve different functions within the insurance industry.

What are the key skills and qualifications needed to thrive as an Insurance Subrogation Specialist, and why are they important?

To excel as an Insurance Subrogation Specialist, you need a solid understanding of insurance policies, claims processing, and legal procedures, often supported by experience in insurance, claims, or related certifications. Familiarity with claims management software, case management systems, and basic legal research tools is commonly required. Strong negotiation, analytical thinking, and attention to detail are essential soft skills for resolving claims efficiently and professionally. These abilities are critical for maximizing recoveries, minimizing losses, and ensuring compliance with legal and policy requirements.
Infographic showing various Insurance Subrogation job openings in Florida as of June 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 78% In-person, 6% Hybrid, and 16% Remote job distribution.
Medical Claims Recovery Specialist (Subrogation) - Tallahassee, FL - Hybrid

Medical Claims Recovery Specialist (Subrogation) - Tallahassee, FL - Hybrid

Gainwell Technologies

Tallahassee, FL • Hybrid

$43K - $48K/yr

Other

Medical, Life, Retirement, PTO

Posted 7 days ago


Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

108th of 188 rated software companies


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. 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

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 is responsible for the intake, maintenance, claims review, case management, settlement, and all related activities within the assigned caseload.quirements.

Your role in our mission
  • Ensure all processes meet HIPAA and government security requirements regarding the sharing and storage of Personal Health Information (PHI).
  • Utilize strong analytical and case management skills to oversee 700-1,000 subrogation cases simultaneously.
  • Communicate professionally-primarily via inbound and outbound calls-with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients.
  • Prepare and manage required correspondence, liens, claims, and related documentation throughout the recovery process.
  • Meet departmental goals for customer service, settlements, and case handling standards.
  • Perform both basic and advanced document and legal reviews to determine case status, ensure accuracy, and support workflow progression.
  • Verify beneficiary eligibility and maintain accurate documentation.
  • Confirm and validate third-party liability, probate, and asset research findings.
  • Compile and analyze information from multiple sources to determine case status and recovery potential.
  • Process and resolve claim or lien disputes; collaborate with attorneys and relevant stakeholders as needed.
  • Conduct periodic follow-ups on case status, payments, and settlement updates.
  • Negotiate and finalize claim or lien settlement amounts according to established contract guidelines.
  • Execute and file notarized documents with applicable county offices.
  • Prioritize case events, payment issues, and revenue-impacting deadlines to ensure timely resolution.
  • Maintain accuracy, timeliness, and productivity standards for file management and phone 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 is 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 is preferred
What you should expect in this role

   Hybrid work arrangement based in the Tallahassee, FL office - onsite 2 days per week.
   Schedule: Monday-Friday, 8:00 AM - 5:00 PM.
   Video cameras are required during all interviews and throughout the first week of orientation.
   To work effectively as a teleworker or hybrid employee, you must have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload (higher speeds recommended for optimal performance).

This posting is intended for pipelining. We will accept applications on an ongoing basis.


#LI-HYBRID #LI-JA1 #LI-CM1

The pay range for this position is $43,500.00 - $48,000.00 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. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.


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About Gainwell Technologies

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With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US