Rawlings Group

Since 1985, The Rawlings Group has pioneered every major innovation in our industry. We are:

Pioneers in developing the first outsourced national subrogation program.

Pioneers in developing the first data exchange using medical diagnostic codes to identify potential third party liability claims.

Pioneers in the use of a single data exchange to provide the widest range of claims recovery services available. Our processes have recovered hundreds of millions of dollars.

Pioneers in the use of unedited claims data exchanges to maximize recovery productivity and ensure quality control over information processing.

Pioneers in publishing a National Subrogation Law Manual, updated annually. This valuable tool is used by many corporate legal departments - and even by our competitors.

Pioneers in creating new sources of income for the health insurance industry. We have successfully negotiated hundreds of millions of dollars in mass tort claims for our clients.

And, perhaps most importantly, we at The Rawlings Group are pioneers in tailoring services to meet industry preferences. Our growth has come by satisfying the unique needs of each client, and their recognition of the value of our proactive service.

Are you a pioneer? Come break new ground with us.

Our vision is to be the best at the services we provide in the health insurance industry. Our strategy to accomplish this vision is to always follow the principles of:

Integrity

Outstanding Customer Service

Excellence in Execution

Innovation and Continuous Improvement

Generously Giving Back to the Community

Do you share these principles? Come forge ahead with us.

The Rawlings Group is the nation’s leading provider of data mining claims recovery services to the health insurance industry. The most comprehensive and experienced company of its kind, Rawlings pioneered the innovations in data mining that made our company the industry leader.
Because of our commitment to innovation, today Rawlings remains the largest and most experienced provider of these services in the industry. Exact replicas of production environments are accessed by our R&D department, which is staffed by health insurance industry experts and persons with advanced degrees in data mining and analysis. Our Agile development processes are based on the latest industry standards. Leading edge technology is key to The Rawlings Group’s effort to continuously improve results for its clients. We mine a staggering $250,000,000,000 in health insurance claims each year.

Are you inquisitive and innovative? Come investigate with us.

We should probably emphasize the “work hard” part. As a group, we are tenacious and dedicated to getting the job done. But everyone needs to play now and then. Sometimes it takes the form of a snowman contest amongst our creative IT department during an unexpected snowfall; or maybe it’s the annual Tug-of-War during our Field Day and summer picnic. Even in our play, we embrace that competitive spirit that makes us an industry leader. Are you looking to join a winning team? Come compete with the best.

Our focus is health insurance, but we have many ways of reducing costs in the industry. And, we are always looking for new ideas. We are sincerely interested in hearing suggestions for improving the Company’s operations and services. We believe that no one knows the job, and ways to make it better, like our employees do.
We don’t stop with innovative ideas and continuous improvement. Excellence in execution is an important factor. Once we implement a unique cost recovery area for the health insurance industry, we aim to not only be the first to perform the service but to set the industry standard for that service. And we don’t miss.

Do you have a solution? Come share your ideas with us.

Any given day you can look at the media and see the health insurance industry faces tough challenges. We are proud to be called upon to provide solutions. Rawlings reduces cost in the health insurance industry by helping health plans identify members who have other sources of coverage that are responsible for paying all or part of their claims costs. We then help our clients recover those dollars from the responsible party by providing the following services:

Third Party Liability and Worker’s Compensation

Medicare and Commercial COB Identification and Recovery

Pharmacy Overpayment Identification and Recovery

Health Insurance Mass Tort and Anti-Trust Recovery

Complex Health Insurance Litigation Settlement Administration

Are you searching for a meaningful career? Come make an impact with us.

The Rawlings Group was originally established as a law firm in 1977 by George Rawlings. The Rawlings Group is now composed of The Rawlings Company, Rawlings Financial Services, Rawlings & Associates, and The Rawlings Foundation. All entities, except the Foundation, exclusively serve the health insurance industry by providing cost containment programs. The Rawlings Group’s stability of ownership and management is unique in the industry. The company has not been owned by a variety of investors whose primary interest has been the valuation of their businesses. In 2007, The Rawlings Group celebrated its 30th year in business by moving its corporate headquarters to Oldham County, Kentucky, and it is the county’s largest private employer. Are you looking for a job, or a career? Come put down roots with us.