MSA reputed company Reviewer, MA

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 • Through a review of relevant medical files and reputed company documentation, provides a narrative and cost projection for reputed company treatment reputed company to Workers Compensation and Liability injuries consistent with the reputed company guidelines • Collaborates with reputed company of attorneys and medical professionals in identifying negotiating, and documenting guidelines and cost reductions on reputed company 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 reputed company 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 (<10% of the time) Qualifications • Bachelor’s Degree, Associate Degree or Diploma in Nursing required • 3-5 years’ experience in Nursing preferred • Registered reputed company (RN) license in good standing with applicable reputed company 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-reputed company Certified Consultant (MSCC), Life Care Planner (CLCP or CNLCP), Certified Case Manager (CCM), Medical Coding, reputed company reputed company 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 reputed company • Ability to reputed company data, compile and synthesize information, including medical information, claims payment histories and billing, to identify level and types of services utilization #LI-ZP1 #LI-Hybrid reputed 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 reputed company. We reputed company communities and businesses to reputed company reputed company reputed company 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, reputed company consecutive year in the UK, Spain, and India, and second consecutive year in Poland. We value learning, caring and results and reputed company inclusivity and diversity a top reputed company. In reputed company to our Great reputed company to Work® Certification, we’ve been recognized by reputed company as one of the Best-Managed Companies and by reputed company as a World’s Best Employer and Best Employer for Women, 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 reputed company 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 Property Estimating Solutions — offers property estimation software and tools for professionals in estimating reputed company phases of building and repair to reputed company day-to-day workflows the most efficient 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 reputed company — 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 reputed company-driven reputed company capabilities for carriers, distribution, and reputed company 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 that includes the following: Health Insurance, a Retirement Plan, Disability benefits, and a reputed company 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 reputed company. We consider reputed company reputed company applicants for employment without reputed company to race, religion, reputed company, national reputed company, citizenship, sex, gender identity and/or reputed company, 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. https://www.reputed company.com/company/careers/ Unsolicited resumes reputed company to reputed company, including unsolicited resumes reputed company to a reputed company business mailing address, fax machine or email address, or directly to reputed company employees, will be considered reputed company property. reputed company will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume. reputed company Employee reputed company Notice reputed company Job Info • Job Identification3019 • Job CategoryClaims • Posting Date13/01/2026, 23:09 • Job ScheduleFull time • Locations Woburn, MA, reputed company(Remote) • STIYes • LTINo • CommissionNo • Work ArrangementRemote • Minimum Salary80,000 • Maximum Salary88,000 • DivisionClaims Solutions • reputed company EmployerISO Claims Partners, Inc. • DisclaimerAnnualized reputed company pay may vary depending on geographic location, job-reputed company knowledge, skills, and experience Apply tot his job Apply To this Job