Subrogation Analyst

Machinify

4d • $55,000 - $127,000

About The Position

As part of the Subrogation team, the Subrogation Analyst investigates multiple sources of health insurance data to identify possible accidents and/or physical injuries. Our detailed processes determine responsibility for medical and pharmacy claims allowing The Rawlings Group to represent our clients in recovering funds from at fault parties. They specialize in the most complex liability cases which require expert knowledge of state law, LOB preemption and negotiation strategies to maximize recoveries for the company.

Requirements

• Associate or bachelor’s degree preferred, or equivalent skills and experience.
• Excellent customer service skills.
• Proficient with multi-tasking and time management.
• Very strong written and verbal communication skills.
• Proficient in Microsoft Word, Excel, and Outlook.
• Professional experience in insurance, legal, mortgage lending, customer service, or related field is preferred.

Responsibilities

• Investigate and determine whether medical insurance claims are recoverable or non-recoverable from a liable third party.
• Communicate and negotiate with healthcare plan members, insurance adjusters, and attorneys.
• Utilize computer systems to accurately document collected information.
• Apply organizational, analytical, and time management skills to manage daily workflow.
• Review and understand healthcare contracts.
• Create medical expense spreadsheets and processes payments from recoveries.

Benefits

• PTO, Paid Holidays, and Volunteer Days
• Eligibility for health, vision and dental coverage
• 401(k) plan participation with company match
• Flexible spending accounts
• Tuition Reimbursement
• Eligibility for company-paid benefits including life insurance, short-term disability, and generous parental leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree