MSA Solutions Analyst

Summary

Brown & Brown's IMPAXX is a Medicare compliance company supporting the property and casualty industry, particularly workers' compensation and liability claim settlements. The MSA Solutions Analyst prepares future medical cost projections and Medicare Set-Aside Allocation reports, analyzes complex claim and medical information, researches Medicare and jurisdictional requirements, and supports customers and internal teams.

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

Skills

• 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
• Excellent written communication, proofreading, grammar, and numerical presentation skills
• Strong attention to detail, sound judgment, and the ability to work independently with limited supervision
• Demonstrated 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
• Bachelor's degree
• Experience or credentials in multiple relevant areas listed in the qualifications

Qualifications

Must Haves

• 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
• Excellent written communication, proofreading, grammar, and numerical presentation skills
• Strong attention to detail, sound judgment, and the ability to work independently with limited supervision
• Demonstrated 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

Nice to Haves

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

Benefits

• Medical/Rx
• Dental
• Vision
• Life Insurance
• Disability Insurance
• ESPP
• 401k
• Student Loan Assistance
• Tuition Reimbursement
• Free Mental Health & Enhanced Advocacy Services
• Paid Time Off
• Holidays
• Preferred Partner Discounts