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Health Insurance Recovery Analyst

Organization

The Rawlings Company

Description


The Health Insurance Recovery Analyst investigates multiple sources of health insurance data to identify possible accidents and 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. A significant portion of our client membership is primarily Spanish-speaking, a bilingual analyst bridges the language barrier to effectively serve these individuals.

Setting: Professional office environment (with remote opportunity available after one year of employment based on performance).

Training: The Rawlings Company takes great pride in providing exemplary training and development programs via in-person instruction. Training covers our state-of-the-art proprietary systems, communication tactics, and many other tools to place Analysts on the path to success. The next training program is scheduled to start on October 3, 2022.

Responsibilities:
• Investigates and determines whether medical insurance claims are recoverable or non-recoverable.
• Communicates and negotiates with healthcare plan members, insurance adjusters, and attorneys.
• Use computer systems to accurately document information gathered.
• Uses organizational, analytical, and time management skills to manage daily workflow.
• Reviews and understands healthcare contracts.
• Creates medical expense spreadsheets and processes payments from recoveries.

Requirements


• 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.

Physical Requirements
• Frequently remains in sitting position for long periods of time to perform duties.
• Frequently concentrates for long periods of time, paying close attention to detail.
• Frequently uses and views the computer using fingers, hands, and vision.
• Frequently works in a well-lit, tempered environment.
• Occasionally moves through office to communicate with other employees

The Rawlings Group is looking for hard-working, talented people who share our commitment to excellence to join our company. The Rawlings Company has successfully provided cost containment services to the largest health insurers in the country for more than 40 years and continues to grow as an industry leader.

Our Culture is focused on:
• The guiding principle of doing the right thing
• Caring for our employees and taking pride in the work they do
• Providing recognition and financially rewarding employees for their success

Our Values are:
• Integrity and Trust
• Customer Service Excellence
• Innovation
• Diversity and Inclusion
• Honoring our Veterans and Their Service


*Equal Employment Opportunity. It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification.
*The Rawlings Group is an employment at will employer.

Type

Full-time

Work Schedule

Set Hours — Hours: Day shift, 40-hour work weeks. During training, 8am - 5pm. Flexible schedule options available between 7am - 7pm, and hybrid work-from-home is available 50% after six months of employment.

Salary

$47,000 + bonus. Average is $75K to $85K

Benefits

Our comprehensive benefit package includes medical, dental, and vision benefits, short term disability insurance, 401(k) retirement plan, 18 days of vacation time, 7 holidays, and more. We also offer an onsite gym, cafe and coffee shop.

Required Education

High School Diploma — Associate or Bachelor’s degree preferred, or equivalent skills and experience. Candidates with some college, but have not yet finished a degree, are also able to interview for the positions.

Work Location

Other — La Grange, KY

Application Process

Apply Online:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=37558&clientkey=C522B0BF9B4733379C8BF9134E1E0433

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