Machinify
Subrogation Analyst - Liability Recovery Unit (LRU)
Machinify, La Grange, Kentucky, United States, 40031
Subrogation Analyst - Liability Recovery Unit (LRU)
Who We Are
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.
Location
This role is full remote and equipment will be provided.
About The Opportunity
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. We 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
Investigates and determines whether medical insurance claims are recoverable or non‑recoverable from a liable third party.
Communicates and negotiates with healthcare plan members, insurance adjusters, and attorneys.
Utilizes computer systems to accurately document collected information.
Applies organizational, analytical, and time‑management skills to manage daily workflow.
Reviews and understands healthcare contracts.
Creates medical expense spreadsheets and processes payments from recoveries.
What Experience You Bring (Role 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 a related field is preferred.
What Success Looks Like…
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
You see opportunities for career progression and personal development.
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, and flexible spending accounts
Tuition Reimbursement
Eligibility for company‑paid benefits including life insurance, short‑term disability, and parental leave.
Remote and hybrid work options
At Machinify, we’re reimagining a simpler way forward. We embrace flexible working arrangements, collaborate cross‑functionally, invest in ongoing education and celebrate team achievements, and give back to our communities through dedicated days for volunteering. Together, we are making healthcare work better for everyone and are 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. If you require a reasonable accommodation to complete any part of the application or recruitment process, please contact our People Operations team at machinify_careers@machinify.com. See our Candidate Privacy Notice at https://www.machinify.com/candidate-privacy-notice/.
Seniority level
Associate
Employment type
Full‑time
Job function
Finance and Sales
Industries
Software Development
#J-18808-Ljbffr
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.
Location
This role is full remote and equipment will be provided.
About The Opportunity
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. We 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
Investigates and determines whether medical insurance claims are recoverable or non‑recoverable from a liable third party.
Communicates and negotiates with healthcare plan members, insurance adjusters, and attorneys.
Utilizes computer systems to accurately document collected information.
Applies organizational, analytical, and time‑management skills to manage daily workflow.
Reviews and understands healthcare contracts.
Creates medical expense spreadsheets and processes payments from recoveries.
What Experience You Bring (Role 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 a related field is preferred.
What Success Looks Like…
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
You see opportunities for career progression and personal development.
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, and flexible spending accounts
Tuition Reimbursement
Eligibility for company‑paid benefits including life insurance, short‑term disability, and parental leave.
Remote and hybrid work options
At Machinify, we’re reimagining a simpler way forward. We embrace flexible working arrangements, collaborate cross‑functionally, invest in ongoing education and celebrate team achievements, and give back to our communities through dedicated days for volunteering. Together, we are making healthcare work better for everyone and are 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. If you require a reasonable accommodation to complete any part of the application or recruitment process, please contact our People Operations team at machinify_careers@machinify.com. See our Candidate Privacy Notice at https://www.machinify.com/candidate-privacy-notice/.
Seniority level
Associate
Employment type
Full‑time
Job function
Finance and Sales
Industries
Software Development
#J-18808-Ljbffr