Medical Analyst

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.

• 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

• 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

Additional Information

Verisk Analytics is an equal opportunity employer.

All members of the Verisk Analytics family of companies are equal opportunity employers. We consider all qualified applicants for employment without regard to race, religion, color, national origin, citizenship, sex, gender identity and/or expression, sexual orientation, veteran's status, age or disability.

http://www.verisk.com/careers.html

Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Verisk will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume.