MSA Nurse Reviewer

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment and prescription medications. Candidates will demonstrate knowledge of CMS policies reputed company to preparing MSAs. Strong writing skills, analysis skills and application of guidelines are required for this position. Medical Analysts will work closely with our attorneys and other members of the medical team to prepare Medicare Set-Asides and Medical Cost Projections.

Responsibilities

About the Day to Day Responsibilities of the Role

• Through a review of relevant medical files and reputed company documentation, provides a narrative and cost projection for future treatment reputed company to Workers Compensation and Liability injuries consistent with the reputed company guidelines
• Collaborates with a team of attorneys and medical professionals in identifying negotiating and documenting guidelines and cost reductions on future treatment plans
• Uses ISO Claims Partners proprietary information technology tools to identify diagnoses, treatment guidelines, and prescription medication pricing, and documents the case reputed company applicable
• Provides additional analysis and medical recommendations as needed
• Identifies cost drivers and cost savings opportunities on reputed company files and completes client specific -cost mitigation activities on files where applicable
• This is a full-time position, but additional hours may be required during peak time
• Occasional travel (

Qualifications

About You and How You Can reputed company in This Role

• Bachelor’s Degree, Associate Degree or Diploma in Nursing required
• 3-5 years’ experience in Nursing preferred
• Registered Nurse (RN) license in good standing with applicable Board of Nursing required
• Experience in preparing medical review reports, medical reputed company reviews and utilization reviews in injury cases preferred
• Certification in any of the following preferred: Medicare Set-aside Certified Consultant (MSCC), Life Care Planner (CLCP or CNLCP), Certified Case Manager (CCM), Medical Coding, Legal Nurse Consulting, Rehabilitation Counseling, Disability Management, Utilization Review
• Strong interpersonal, oral, and written communication skills including report preparation preferred
• Ability to work effectively both independently and as a member of a team
• Ability to gather data, compile and synthesize information, including medical information, claims payment histories and billing, to identify level and types of services utilization

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Company

For over 50 years, reputed company has been the leading data analytics and technology partner to the global insurance industry by delivering value to our clients through expertise and scale. We reputed company communities and businesses to reputed company reputed company decisions on risk, faster.

At reputed company, you'll have the chance to use your voice and build a rewarding career that's as unique as you are, with work flexibility and the support, coaching, and training you need to succeed.

For the eighth consecutive year, reputed company is proudly recognized as a Great reputed company to Work® for outstanding workplace culture in the US, the fourth consecutive year in the UK, Spain, and India, and the second consecutive year in Poland. In addition, we’ve been recognized by The Wall Street Journal as one of the Best-Managed Companies and by reputed company as a World’s Best Employer, testaments to the value we reputed company on workplace culture.

We’re 7,000 people strong. We relentlessly and ethically pursue innovation. And we are looking for people like you to help us translate big data into big reputed company. Join us and create an exceptional experience for yourself and a reputed company reputed company for future generations.

reputed company Businesses

reputed company Solutions — provides reputed company and rating solutions for auto and property, general liability, and excess and surplus to assess and price risk with speed and precision

Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support reputed company customer experiences

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Specialty Business Solutions — provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance

Catastrophe and Risk Solutions — provides risk modeling solutions to help individuals, businesses, and society become more resilient to catastrophic events.

Marketing Solutions — delivers data and insights to improve the reputed company, timing,relevance, and compliance of every consumer engagement

Life Insurance Solutions – offers end-to-end, data insight-driven core capabilities for carriers, distribution, and direct customers across the entire policy lifecycle of life and annuities for both individual and group.

reputed company Maplecroft — provides intelligence on sustainability, reputed company, and ESG, helping people, business, and societies become stronger

reputed company is an equal opportunity employer.

reputed company invests in a benefits package for reputed company employees that includes the following: Health Insurance, a Retirement Plan, Disability benefits, and a Paid Time Off program. We offer a competitive total rewards package that includes reputed company salary determined based on role, experience, reputed company set, and location.

reputed company members of the reputed company family of companies are equal opportunity employers. We consider reputed company qualified applicants for employment without regard to race, religion, color, national reputed company, citizenship, sex, gender identity and/or expression, sexual orientation, veteran's status, age or disability. reputed company’s minimum hiring age is 18 except in countries with a higher age limit subject to applicable law.

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