Medicare Set-Aside Analyst & Claims Cost Projections

Brown & Brown Insurance; United States; Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Health Benefits

401k

Paid Time Off

Job summary

IMPAXX seeks a MSA Solutions Analyst to join our Medicare compliance team. You will review complex medical records, prepare allocation reports, and research Medicare guidelines to mitigate costs. The role reports to the Sr. Team Leader, MSA Division, with no travel required.

Responsibilities include producing allocation reports, maintaining MyConnect data, and communicating findings to customers. A strong background in workers’ compensation, MSA, or related fields is essential.

Qualifications

• 3-5 years of workers’ compensation or liability claims experience.
• Educational or professional background in law, claims management, MSA, or nursing with RN license.
• Strong analytical and critical-thinking abilities to evaluate claim files and costs.
• Ability to research Medicare guidelines, payer statutes, and regulatory communications.
• Proficient in math including percentages and fractions.

Responsibilities

• Review medical records and claim documents to prepare allocation reports.
• Prepare future medical cost projections and MSA allocation reports.
• Research Medicare coverage requirements and related statutes.
• Enter information into MyConnect and maintain accurate documentation.
• Deliver reports to customers and communicate exposure and mitigation opportunities.
• Collaborate with internal teams and maintain confidentiality.

Skills

MSA knowledge

Analytical thinking

Research Medicare guidelines

Data entry accuracy

Client communication

Education

Bachelor's degree

Juris Doctor

Paralegal certificate

Nursing degree with RN

Tools

Microsoft Office Suite

MyConnect system

Job description

IMPAXX seeks a MSA Solutions Analyst to join our Medicare compliance team. You will review complex medical records, prepare allocation reports, and research Medicare guidelines to mitigate costs. The role reports to the Sr. Team Leader, MSA Division, with no travel required.

Responsibilities include producing allocation reports, maintaining MyConnect data, and communicating findings to customers. A strong background in workers’ compensation, MSA, or related fields is essential.