Subrogation Analyst

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

About the Opportunity

As part of the Subrogation team, the Subrogation Analyst - Litigation Specialist 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 Machinify (previously 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.

What you'll do

• 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.

What experience you bring:

• 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.

Pay range: $55,000 annual base salary with bonus opportunity based on recoveries. Total compensation can range from $70,000 - $127,000 (salary + bonus). This is an exempt position.

What's in it for you

• 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.