Rawlings has increased identifications and recoveries for every new client as compared to the previous vendor program or internal unit. Why? Because our expertise, innovation, quality, and service combine to deliver the best possible program results at every level.
Rawlings pioneered health plan subrogation outsourcing. Our attorneys have won over 50 precedent-setting cases, successfully establishing and defending payer recovery rights. Our 60 in-house attorneys guide the recovery strategies applied by 450+ recovery analysts. As needed, Rawlings attends mediations, arbitrations, or trials to protect the interests of the plan.
Rawlings' claims data mining uses sophisticated algorithms to identify recovery opportunities. Enrichment and machine learning eliminate low probability claims and validates identifications. Rawlings identifies up to 90% of recoverable cases within 30 days of processing claims, and 95% without member outreach.
Analysts identify all potential sources of recovery, including liability insurance, medical payment coverage, personal injury protection, uninsured/underinsured motorist coverage, and workers’ compensation. Rawlings negotiates settlement with attorneys, insurance carriers, or other organizations.
Payers have 24/7 access to a secure online portal to view file information, status, and recoveries. A designated internal liaison team supports each account and ensures rapid resolution of inquiries. Liaisons have an average of 15 years industry experience.
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