Legal Nurse Reviewer
Verisk
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • United States
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Salary
💰 $80,000 - $85,000 per year
About 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)
Requirements
- 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
Benefits
- Health Insurance
- a Retirement Plan
- Disability benefits
- a Paid Time Off program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical bill reviewcost projectionmedical review reportsutilization reviewsdata gatheringinformation synthesisclaims payment historiesreport preparation
Soft Skills
interpersonal skillsoral communicationwritten communicationteam collaborationindependent work
Certifications
RN licenseLegal Nurse ConsultingRehabilitation CounselingDisability ManagementUtilization ReviewLife Care PlanningMedical CodingCase Management