Medical Claims Analyst

We are looking for a Medical Claims Analyst to join a detail-oriented team, supporting workers’ compensation matters through careful medical record analysis. This position is well suited for someone with clinical knowledge who enjoys evaluating treatment details, identifying relevant case information, and helping legal professionals understand complex medical documentation. The role offers an in-office environment with the opportunity to contribute to case preparation while building knowledge of legal workflows.

Salary:

$35 - $45 / per hour

Benefits:

MDV, PTO, 401k

Responsibilities:

• Examine medical charts, provider notes, and treatment documentation to create clear case summaries for workers’ compensation matters.

• Analyze injuries, diagnoses, procedures, and recovery progress to outline accurate medical timelines and key developments.

• Contact healthcare offices and providers to request records, confirm missing information, and resolve documentation questions.

• Work closely with attorneys by explaining medical details and highlighting information that may affect case strategy.

• Maintain organized case materials by tracking incoming records, updating files, and ensuring documentation is easy to retrieve.

• Prepare medical overview materials that support hearings, case reviews, and other legal proceedings.

• Assist with administrative case support, including basic legal documentation and coordination tasks, with training provided as needed.

• Experience in a healthcare-related role such as nursing, medical assisting, therapy support, or a similar clinical setting is preferred.
• Working knowledge of medical terminology, common treatment methods, and healthcare documentation practices.
• Experience reviewing medical records, patient histories, or related clinical documents with a high level of accuracy.
• Strong attention to detail and the ability to manage multiple files, deadlines, and document requests effectively.
• Comfort using office systems and learning new tools or workflows in a workplace setting.
• Clear written and verbal communication skills for interacting with providers and collaborating with legal staff.
• Prior legal experience is not required; candidates should be open to training and learning workers’ compensation processes.
• Exposure to workers’ compensation, personal injury matters, medical billing, or insurance claims is a plus.