Subrogation Analyst - Liability Recovery Unit (LRU)

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 60 health plans, including many of the top 20, and representing more than 160 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.

This role is full remote. Training will be remote and will also provide in person training for candidates who are local and prefer onsite training.

At Machinify, we're constantly reimagining what's possible in our industrycreating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. As part of the Subrogation team, the Subrogation Analyst- LRU 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.

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 process payments from recoveries.

What experience you bring (Role Requirements) :

What Success Looks Like

After 3 months :

After 1 year :

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 :

At Machinify, we're reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity, teamwork, accuracy, and flexibility. We do the right thing, and we listen to the needs of our clients and their members. As tenured experts with unmatched experience, we champion diverse perspectives that help us to better understand and serve our clients.

Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross-functionally, abandoning silos, to bring innovative and accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicating days for volunteering. Together, Machinify is making healthcare work better for everyone, and we're passionate about a future with better outcomes for all.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.