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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Health Care
Insurance Coverage
Litigation - Whistleblower - CFTC
Min 3 yrs required
Nurse Consultant - Commercial Auto The candidate will collaborate with Claims Representatives and Defense Council on claims issues. Will organize, review, and analyze medical records to assess if treatment meets standards of care and to identify and assess causation issues with correlation of diagnoses. Prepare chronological reports with case analysis and recommendations. Identify files for expert opinion. Provide medical research on related medical issues. Assist with identifying and obtaining expert witnesses and medical reviewers. Prepare questions for depositions, peer review, expert witnesses, and IMEs. Prepare files for mediations, trials, peer review, IMEs, etc as directed. Attend depositions, mediations, and trials as directed by management. Present medical training and education to claims staff. Review and analyze expert witness reports and depositions. Review and audit medical billing.
Qualification and Experience
The candidate should be a RN. A four-year college degree or Nursing Degree/Certification preferred. Candidate with J.D. degree will also be preferred. Must have 3 years of medical consulting experience. Legal/medical background is needed. Claims experience strongly preferred. 3rd party personal/bodily injury experience is essential. Orthopedic and Emergency room exposure is a must. Technical expertise regarding medical management strategies is required.
Ref. #: 150003RY
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