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Brown & Brown Insurance

Provides risk management and insurance solutions

MSA Solutions Analyst

Claims AdjudicationPosted on Nov 9
Full-timeRemote in USA$60k - $75k /yr

About the Job

Requirements

  • Three to five years of experience with workers’ compensation or liability claims.
  • At least one relevant educational or professional background, including a Juris Doctor degree, a paralegal certificate, claims management experience, MSA Analyst experience, or a bachelor’s degree in nursing with an active Registered Nurse license and three to five years of clinical nursing experience.
  • Strong analytical and critical-thinking skills, including the ability to evaluate claim files and medical records and project appropriate treatment protocols and costs.
  • Ability to research and interpret Medicare guidelines, Medicare Secondary Payer statutes, jurisdictional requirements, medical terminology, and regulatory communications.
  • Proficiency in basic mathematics, including percentages and fractions.
  • Strong reading comprehension and the ability to process high volumes of detailed information.
  • Written communication, proofreading, grammar, and numerical presentation skills.
  • Strong attention to detail, sound judgment, and the ability to work independently with limited supervision.
  • Accuracy, organization, time management, adaptability, collaboration, and problem-solving skills.
  • Proficiency with Microsoft Office Suite and accurate typing and data-entry skills.
  • Professional telephone and customer-service skills.
  • Ability to maintain confidentiality and protect sensitive medical information.
  • Ability to work additional hours or a flexible schedule when occasional business demands require it.
  • Ability to perform the essential functions of the position with or without reasonable accommodation.

Responsibilities

  • Review and analyze medical records, claim file documents, hearing orders, and depositions to prepare allocation reports.
  • Prepare future medical cost projections and Medicare Set-Aside Allocation reports.
  • Research Medicare coverage requirements, Medicare Secondary Payer statutes, jurisdictional requirements, regulatory guidelines, medical treatment protocols, and associated costs.
  • Enter accurate and complete information into the medical tab and other applicable areas of MyConnect.
  • Develop clear rationales for allocations and identify potential mitigation opportunities.
  • Review MyConnect’s automated pricing results for accuracy and proofread calculations and report summaries.
  • Maintain thorough and accurate file documentation, including information entered into MyConnect.
  • Deliver completed allocation reports to customers and clearly communicate identified exposure and mitigation opportunities.
  • Contact customers as needed to clarify or obtain outstanding information required to complete requested reports.
  • Respond to customer questions regarding delivered allocations and Medicare Secondary Payer compliance, or direct inquiries to the appropriate internal team.
  • Review, analyze, and communicate CMS counter opinions as assigned.
  • Collaborate frequently with the Team Leader, Coding Team, Clinical Director, Referral Coordinators, and other internal IMPAXX teams.
  • Review resources available through the Analyst iPortal and IMPAXX Intranet, including customer-specific handling instructions.
  • Provide feedback on potential improvements to MyConnect workflows and related processes.
  • Produce a minimum average of 1.2 allocation reports per day, measured at fiscal month-end.
  • Maintain the confidentiality and security of all medical records and other sensitive information received or reviewed.
  • Perform other duties as assigned.

Desired Qualifications

  • Bachelor’s degree.
  • Experience or credentials in multiple relevant areas listed in the qualifications.

About the Company

Brown & Brown Insurance

Provides risk management and insurance solutions

Brown & Brown offers risk management and insurance solutions through Retail and Specialty Distribution. It acts as a broker and advisor, matching customers with coverage, assessing risk, and coordinating policies. The company differentiates itself with a large industry presence, a culture built on integrity and the Power of WE, and a strong commitment to local communities. Its goal is to help customers manage and reduce risk while protecting their assets over the long term.

Company size
5,001-10,000
Company stage
IPO
Headquarters
Leeds, United Kingdom
Founded
1914

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