Marcus Harris

Results-driven Claims Negotiation and Subrogation Specialist with extensive experience in Medicaid estate recovery, casualty claims, and third-party liability management. Highly skilled in conducting in-depth investigations, analyzing medical and financial documentation, and negotiating settlements to achieve optimal recovery outcomes. Recognized for exceptional ability to navigate complex legal and regulatory frameworks while maintaining compliance with state and federal Medicaid guidelines.

Adept at fostering collaboration among legal, compliance, and agency partners to streamline recovery processes and ensure accuracy across all phases of claims management. Demonstrates a strong balance of analytical precision, persuasive communication, and customer service excellence, consistently contributing to organizational success and revenue growth.

Estate Recovery Specialist at HMS / Gainwell Technologies (2024-04 – Present)

• Managed end-to-end claims negotiation and subrogation processes for state Medicaid estate, casualty, and third-party liability claims to maximize recovery outcomes.
• Conducted comprehensive investigations and analyzed legal, medical, and financial documentation to establish liability and identify reimbursement opportunities.
• Negotiated payment settlements and lien resolutions with attorneys, insurance carriers, and estate representatives to ensure equitable and timely claim resolution.
• Communicated strategically and persuasively with beneficiaries, legal counsel, and third parties to facilitate successful negotiations and maintain positive professional relationships.
• Maintained meticulous case documentation to support recovery actions, audits, and compliance with state and federal Medicaid subrogation regulations.
• Collaborated cross-functionally with legal, compliance, and state agency partners to streamline recovery strategies and strengthen claims management efficiency.

Insurance Associate at Conduent Payment Integrity Solutions (2017-07 – 2024-04)

• Directed complex subrogation and recovery processes involving Medicaid estate, casualty, and commercial insurance claims to ensure accurate reimbursement and compliance with state regulations.
• Reviewed medical, legal, and financial documentation to evaluate liability, determine potential recovery sources, and establish claim validity.
• Negotiated settlements and lien resolutions with attorneys, insurance carriers, and third parties to achieve optimal recovery outcomes for state and federal programs.
• Prepared detailed case documentation to support subrogation actions, audits, and legal reviews, maintaining complete accuracy and regulatory alignment.
• Collaborated closely with compliance and legal departments to uphold confidentiality, strengthen policy consistency, and streamline recovery workflows.

Customer Service Representative at Xerox / Conduent (2015-01 – 2017-07)

• Delivered compassionate, high-quality support to patients, providers, and members in a fast-paced medical call center environment.
• Resolved complex healthcare inquiries regarding claims status, eligibility, benefits, and billing with professionalism and accuracy.
• Maintained up-to-date knowledge of medical terminology, plan policies, and HIPAA compliance to ensure accurate and secure communication.
• Collaborated with internal departments to research claim discrepancies and provide timely, patient-centered resolutions.
• Consistently met performance metrics for quality assurance, response time, and customer satisfaction.

High School Diploma – Leon High School (2004-05)