Claims Solutions

  • North Reading, MA
  • Permanent
  • Full-time
Company Description

We assist the world see brand-new possibilities and influence modification for much better tomorrows. Our analytic services bridge material, information, and analytics to assist company, individuals, and society end up being more powerful, more durable, and sustainable.

Job Description

About the Role

We are looking for Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This consists of examining records, preparing the story and a proper allotment for medical treatment and prescription medications. Prospects will show understanding of CMS policies associated to preparing MSAs. Strong writing abilities, analysis abilities and application of standards are needed for this position. Medical Analysts will work carefully with our lawyers and other members of the medical group to prepare Medicare Set-Asides and Medical Cost Projections.

About the Day to Day Responsibilities of the Role

  • Through an evaluation of pertinent medical files and associated documents, offers a story and expense forecast for future treatment associated to Workers Compensation and Liability injuries constant with the existing standards
  • Collaborates with a group of lawyers and doctor in determining negotiating and recording standards and expense decreases on future treatment strategies
  • Uses ISO Claims Partners exclusive infotech tools to recognize medical diagnoses, treatment standards, and prescription medication rates, and files the case when relevant
  • Provides extra analysis and medical suggestions as required
  • Identifies expense chauffeurs and expense savings chances on all files and finishes customer particular -expense mitigation activities on files where relevant
  • This is a full-time position, however extra hours might be needed throughout peak time
  • Occasional travel (
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