MSP Compliance Advisor ( CP )

As a member of Verisk Analytics (Nasdaq: VRSK), ISO Claims Partners is a nationally recognized leader in providing cost-effective and proven Medicare compliance and claim analytics services for Workers' Compensation, First-Party No-Fault, and Liability claims. For the past two decades we have been a trusted consultant and provider to the largest carriers, TPAs, and self-insured Fortune 1000 companies in the world. We draw on unique data assets and deep domain expertise to develop products and services designed with one goal in mind: improving claims outcomes throughout the life of a claim. We accomplish this by providing cutting-edge analytics, unmatched data, and superior medical and legal advocacy - with big payoffs, taking claims organizations from a reactive to a proactive approach. Verisk Analytics is a member of Standard & Poor's S&P 500 Index. In 2016, Forbes magazine named Verisk Analytics to its World's Most Innovative Companies list and to its America's Best Large Employers list. Verisk is one of only 14 companies in the United States to appear on both lists. ISO Claims Partners is headquartered in North Reading, Massachusetts, and has offices throughout North America. For more information about ISO Claims Partners, visit www.verisk.com/claimspartners. The Opportunity: We are seeking an MSP Compliance Advisor to primarily provide legal services in our Medicare Set-Aside (MSA) division by conducting file reviews, writing opinion letters, requesting MSA approval from the Centers for Medicare and Medicaid Services (CMS), completing legal research, and consulting on Workers' Compensation and General Liability settlements. Our company is highly entrepreneurial and dedicated to providing superior service. If you thrive in a fast-paced innovative environment that emphasizes individual accountability with the support of a team structure, come join us! Your Day-to-Day: Consult with adjusters, defense attorneys, plaintiff attorneys, and Medicare on all Medicare issues relative to workers' compensation and liability cases. Research and interpret the Medicare Secondary Payer statute, Code of Federal Regulations and CMS memoranda in order to provide instant, comprehensive, highly analytical legal advice to clients, third parties, and the Medicare Set-Aside department. Educate clients and third parties on the Medicare Secondary Payer statute through seminars, conference calls and client visits. Draft memoranda, both internal and external, explaining Medicare Secondary Payer statute and recommending protocols for clients and third parties Assure timely and efficient response to client needs, including a two week turnaround time for the provision of a formal legal analysis letter and Medicare Allocation Report   What you bring to the team: 1-3 years legal experience Juris Doctorate Member of a State Bar Association in good standing Approachable and able to build constructive relationships with clients Exceptional organizational abilities, excellent writing skills, and strong oral communication skills Strong work ethic and a drive to see projects through to completion   Skills and experiences that will set you apart: Prior experience with worker's compensation a significant plus Outgoing team player willing to take on challenges and with strong attention to detail, ability to see projects through to completion on time Highly motivated with a great deal of self-direction Job ID:  20181002-12672-EF
Salary Range: NA
Minimum Qualification
Less than 5 years

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