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Gainwell Technologies

Associate Business Process Services – Mailroom & Claims Team

Gainwell Technologies

. Adjudicate, research, and review complex claims and appeals .

Posted 5/6/2026full-timeRemote • Nevada • 🇺🇸 United StatesJuniorMid-Level💰 $35,000 - $58,500 per yearWebsite

About the role

Key responsibilities & impact
  • Adjudicate, research, and review complex claims and appeals
  • Analyze trends and generate reports on claims and appeals activity
  • Investigate and respond to claim appeals with well-supported decisions
  • Represent and support appeal determinations in hearings and preparation meetings
  • Ensure HIPAA compliance, maintain confidentiality, and provide team support as needed

Requirements

What you’ll need
  • Strong verbal/written communication and literacy
  • Knowledge of Microsoft products (Outlook, Word, Excel, and TEAMS)
  • Demonstrated ability to analyze information and think strategically
  • High proficiency, with exceptional level of accuracy required
  • Proven ability to work independently and as part of a team
  • Claims processing or other experience in healthcare, health insurance, or Medicaid is preferred.

Benefits

Comp & perks
  • generous, flexible vacation policy
  • 401(k) employer match
  • comprehensive health benefits
  • educational assistance
  • a variety of leadership and technical development academies

ATS Keywords

✓ Tailor your resume
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
claims processingappeals analysisreport generationtrend analysisdecision making
Soft Skills
verbal communicationwritten communicationstrategic thinkingaccuracyteamworkindependence