MSA Solutions Analyst

Brown & Brown Insurance

2d • $60,000 - $75,000

About The Position

IMPAXX, a Medicare compliance company supporting the Property/Casualty industry, provides nationwide settlement and compliance solutions, with services including Medicare Set-Aside arrangements and administration, lien resolution, structured settlements, and Mandatory Insurer Reporting. The MSA Solutions Analyst prepares future medical cost projections and Medicare Set-Aside Allocation reports for the MSA Production team. The role reviews complex claim and medical information, researches Medicare and jurisdictional guidelines, identifies mitigation opportunities, and supports customers and internal teams. It reports to the Sr. Team Leader, MSA Division, has no direct reports, and requires no travel or business driving.

Requirements

• Three to five years of experience with workers’ compensation or liability claims.
• At least one relevant educational or professional background: Juris Doctor degree, 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 evaluating claim files and medical records and projecting 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 ability to process high volumes of detailed information.
• Excellent written communication, proofreading, grammar, and numerical presentation skills.
• Strong attention to detail, sound judgment, and 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.

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 allocation rationales and identify potential mitigation opportunities.
• Review MyConnect 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 to clarify or obtain outstanding information needed to complete reports.
• Respond to customer questions about delivered allocations and Medicare Secondary Payer compliance, or refer inquiries to the appropriate internal team.
• Review, analyze, and communicate CMS counter opinions as assigned.
• Collaborate with the Team Leader, Coding Team, Clinical Director, Referral Coordinators, and other internal IMPAXX teams.
• Review resources in 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 medical records and other sensitive information.
• Perform other duties as assigned.

Benefits

• Medical/Rx, dental, vision, life, and disability insurance.
• Employee stock purchase plan (ESPP).
• 401(k).
• Student loan assistance.
• Tuition reimbursement.
• Free mental health and enhanced advocacy services.
• Paid time off and holidays.
• Preferred partner discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed