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 As a Remote Medical Claims Analyst (US) at Gainwell, you will support Workers’ Compensation operations by reviewing, organizing, and maintaining medical and case-related information to ensure accurate processing and compliance. This role plays a key part in analyzing documentation, supporting case workflows, and contributing to timely and accurate outcomes for our clients. You will work in a structured, detail-oriented environment where efficiency and quality are critical to success. Your role in our mission - Review and organize medical documentation, including procedure and diagnosis codes, to support case management activities - Utilize Excel (filtering, sorting, and basic data analysis) to manage and track case information efficiently - Maintain accurate and timely documentation across systems and workflows - Support case processing by identifying missing or incomplete information and ensuring follow-up actions are completed - Collaborate with internal teams to ensure alignment on case status and processing requirements - Apply attention to detail to ensure data accuracy and compliance with established guidelines - Manage workload effectively to meet productivity and quality expectations What we’re looking for - High School Diploma or GED required - Basic knowledge of medical terminology, including procedure and diagnosis codes - Proficiency in Microsoft Excel (filtering, sorting, and basic data handling) - Strong verbal and written communication skills, including professional email communication - Strong organizational skills with the ability to manage multiple priorities and meet deadlines - High attention to detail and accuracy when working with medical and claims data What you should expect in this role - Fully remote position within the United States - Standard work schedule: Monday–Friday, 8:00 AM – 4:30 PM (with some flexibility) - Work closely with a major client in New York supporting Workers’ Compensation processes - Video interviews are required (camera on), including during the first week of orientation The deadline to submit applications for this posting is April 14, 2026. #LI-REMOTE #LI-JA1 #LI-CM1 The pay range for this position is $35,000.00 - $50,000.00 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.

Join our network of independent alteration professionals specializing in formalwear and tailoring. What You'll Do • Alter suits, tuxedos, dress pants, and formal jackets (hemming, tapering, shoulders, waist, sleeves) • Work with women's formalwear including gowns, cocktail dresses, and bridesmaid dresses • Conduct fittings, take precise measurements, and communicate timelines clearly • Deliver high-quality finishing and maintain an organized workspace suitable for fittings We also receive requests for wedding dresses, prom dresses, evening gowns, and other special event garments. Requirements • Experience with formalwear alterations and/or tailoring • Strong garment construction knowledge + precision measuring • Machine + hand sewing proficiency • Professional communication and customer service Benefits / Highlights • Work from home (independent contractor role) • Local client requests provided through the platform • Flexibility to accept the jobs that fit your schedule • Opportunity to grow repeat clients and reviews through your profile

• Oversee the investigation and resolution of complex, multi-state healthcare professional liability claims. • Independently manage coverage analysis, liability evaluation, reserves, negotiations, and litigation strategy. • Partner with insureds, counsel, and internal teams to deliver effective claim outcomes and underwriting insights.

• Provide support to claims department by handling a large volume of claims calls • Open new claims thoroughly and accurately • Collect and review all claim documents • Verify all requirements that have been met • Provide claim status updates • Provide exceptional customer service • Carry out key administrative duties • Perform other related functions as assigned by management • Strive to uphold Core Values of Serving People, Building Trust, Improving Continuously, and Embracing Innovation & Change • Answer incoming claims calls, identify key information about the customer’s contract, and answer questions related to coverage • Communicate follow-up information as needed • Manage escalated cases and handle disputes or complaints effectively • Adjudicate claims in accordance with the applicable agreement terms and state requirements • Ensure all claim handling and communication is handled within desired metrics • Maintain professional and technical knowledge • Assist the Mechanical Claims Lead and Supervisor with various projects