Medical Analyst, MSA

Company Description

We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable.

Job Description

We are seeking Medical Analysts with experience in reviewing medical treatment related to injury claims. This includes experience in medical reviews or utilization reviews, preparing chronologies, analyzing treatment in medical claims and medical bill reviews. Experience in reviews on behalf of insurance carriers or defense counsel is a plus. 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 chronologies and provide an analysis of treatment/medical bills for appropriateness under medical guidelines and standards.

About the Day to Day Responsibilities of the Role

•            Through a review of relevant medical files and related documentation, provides a chronology, analysis and medical  bill review  and cost projection for injuries cases consistent with the current guidelines

•            Collaborates with a team of attorneys and medical professionals in identifying mitigating issues for injury claims

•            Uses ISO Claims Partners proprietary information technology tools to identify diagnoses and treatment guidelines when applicable

•            Provides additional professional analysis and recommendations as needed

•            This is a full-time position, but additional hours may be required during peak time

•            Occasional travel (<10% of the time)

Qualifications

About You and How You Can Excel in This Role

•            Bachelor’s Degree, Associate Degree or Diploma in Nursing 

•            3-5 years’ experience in Nursing

•            RN license in good standing with the applicable Board of Nursing

•            Experience in preparing medical review reports, medical bill reviews and utilization reviews in injury cases

•            Certification in any of the following, including but not limited to: Legal Nurse Consulting, Rehabilitation Counseling, Disability Management, Utilization Review, Life Care Planning, Medical Coding, Case Management a plus

•            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

Additional Information

In 2022, Verisk received Great Place to Work® Certification for our outstanding workplace culture for the sixth year in a row and second-time certification in the UK, Spain, and India. We’re also one of the 38 companies on the UK’s Best Workplaces™ list and one of 18 companies on Spain’s Best Workplaces™ list.

For over fifty years and through innovation, interpretation, and professional insight, Verisk has replaced uncertainty with precision to unlock opportunities that deliver significant and demonstrable impact. From our historic roots in risk assessment, we’ve grown to provide analytic insights that help transform industries focused on some of the world’s most critical areas. Today, the insurance industry relies on Verisk to be, and to make the world, more productive, resilient, and sustainable.

Verisk works in collaboration with our customers and at the intersection of people, data, and advanced technologies. Through proprietary platformed analytics, advanced modeling, and interpretation, we deliver immediate and sustained value to our customers and through them, to the individuals and societies they serve, with greater speed, precision, and scale.

We’re 9,000 people strong, committed to translating big data into big ideas. We help others see new possibilities and empower certainty into big decisions that impact individuals and societies. And we relentlessly and ethically pursue innovation to help move our customers, and the world, toward better tomorrows.

Everyone at Verisk—from our chief executive officer to our newest employee—is guided by The Verisk Way, to Be Remarkable, Add Value, and Innovate.
• Be Remarkable by doing something better each day in service to our customers and each other
• Add Value by delivering immediate and sustained results that drive positive outcomes
• Innovate by redefining what’s possible, embracing challenges, and pushing boundaries

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