Legal Nurse Reviewer
Verisk · Woburn, Massachusetts, US
We are seeking Medical Analysts with experience in reviewing medical treatment related to injury claims. This includes experience in medical reviews or utili...
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 About You and How You Can Excel in This 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 guide...