Medico-Legal Analyst I - Risk, Claims & Records Review
NYC Health + Hospitals
NYC Health + Hospitals is seeking a Medico-Legal Advisor to assist in evaluating personal injury claims. This role involves preparing reports, analyzing medical records, and reviewing potential risks within hospital operations. The ideal candidate should have relevant nursing or Physician's Assistant credentials along with experience in health care risk management. This position emphasizes independent judgment in a compassionate health care setting. #J-18808-Ljbffr
- ...serves as an advisor on medico-legal matters pertaining to... ...of personal injury claims against the NYC Health... ...Hospitals Corporation and the review and identification of... ...and evaluates medical records and prepares medical... ...identified potential risks that exist in the...LegalClaimsFull timeWork at office
- ...Assistant Director of Risk Management for Behavioral... ...and system-wide. Review incident reports and provide... ...conduct chart and medical record reviews and prepare... ...Collaborate with Central Office Legal Affairs as assigned;... ...process all Notice of Claims, maintain files...LegalClaimsFull timeWork at office
- ...govern. Job Summary The Risk Analyst is a support position... ..., insurance, claims management and safety... ...Department sits within the Legal Department and interacts... ...organizing underwriting data, reviewing final issued policy... ...knowledge of OSHA recordability. Present analysis, findings...LegalClaimsHourly payCasual workWork at officeRemote workWork from home
- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity... ...countermeasure-related injury claims. These programs provide... ...analyze petitions, medical records, and expert testimony to provide... ...and recommendations for legal and administrative teams. Consult...LegalClaimsHourly payContract workRemote work
- ...Key Responsibilities Deep Dive Code Review: Analyze complex codebases,... ...logic gates that align with patent claim elements. Expert Support: Draft high... ...litigation or equivalent contentious legal matters. Primary Reviewer Track Record: Served as the Primary Code Reviewer...LegalClaimsPermanent employmentPart timeRemote work
- ...Ternium Revenue Cycle Management is seeking a full-time Remote Clinical Review Nurse to analyze denied insurance claims, draft appeal letters, and collaborate with legal teams. The role is crucial for optimizing patient care revenue without direct patient interaction....LegalClaimsFull timeRemote work
- ...profit, growth and operational objectives by performing and reviewing advanced actuarial analyses. Responsibilities Perform... ...other business operations including financial, underwriting, legal, statistics, claims, sales, etc. Advanced communication and interpersonal skills...LegalClaimsLocal area
- ...Complex Medical Case Reviewer The Department of Social Services (DSS) is... ...Casualty Program places liens and assert claims against the personal injury... ...cases. Consult Medicaid payment records, bills of particulars, and other legal or medical documents provided. Update...LegalClaimsWork at officeShift work
- ...responsibilities will include completing profitability reviews, semi-annually, developing, maintaining,... ...underwriters, finance, management, and claims personnel Participation in discussions... ...including financial, underwriting, legal, statistics, claims, sales, etc. Advanced...LegalClaimsLocal area
- First Merchants Brand is seeking a Senior Contract Analyst to assist the Director, Corporate Contract and Procurement in legal services and vendor management. The candidate will review contracts, coordinate with general counsel, and ensure compliance with legal standards...LegalContract work
$109.4k - $232k
...underwriting approvals. Conduct contract reviews and analyze client projections. Perform... ...of business and products. Perform claims, trend, rate, benchmarking, and completion... ...eligible employees. Equal Opportunity & Legal Notice Risk Strategies is an equal opportunity...LegalClaimsContract work- ...Duties/Responsibilities: The Medical Peer Reviewer will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and... ...Each Medical Reviewer will cover one legal holiday /year and will be compensated...LegalClaimsLocal areaFlexible hoursWeekend work3 days per weekWeekday work
$118.75k
...Casualty Program places liens and assert claims against the personal injury... ...function as a Complex Medical Case Reviewer, who will: Conduct medical... ...cases. Consult Medicaid payment records, bills of particulars, and other legal or medical documents provided. Update...LegalClaimsFull timeWork at officeShift work$127.3k
...acquisitions. Analyze claims data and develop cost‑of... ...for prospect clients. Review utilization, cost trends... ...appropriate returns for risk. Ensure that... ...pricing and reporting analysts. Other duties as assigned... ...comply with all applicable legal, regulatory, and contractual...LegalClaimsTemporary workWork experience placementWork at officeRemote work$130.57k - $153.62k
...team of actuaries and analysts and collaborate regularly... ...including the Own Risk Solvency Assessment (ORSA... ...reinsurance coverage including claim reporting, commutations... ..., demographics, legal or regulatory changes,... ...procedures. Provide peer review of actuarial work performed...LegalClaimsFull time- ...Strategies, Inc. (HQSI) is seeking a Nurse Reviewer to conduct medical necessity reviews in a... ...on comprehensive reviews of Medicaid claims. Qualified candidates will have at least... ...three to five years of experience in medical record review, excellent interpersonal skills,...ClaimsRemote job
- ...works directly with Underwriting, Claims, Data Science, and aligned... ...to fill as a Senior Actuarial Analyst (Grade 16) or an Actuary (Grade... ...Portfolio analysis: in-depth reviews of the portfolio's composition... ...including financial, underwriting, legal, statistics, claims, sales,...LegalClaimsLocal area
- ...methodologies, analyze emerging risks, and support enhancements for... ...ratemaking and loss cost reviews as well as general product support... ...market, industry, competitor, legal, and regulatory trends and use... ...risk with speed and precision Claims Solutions - supports end-to-...LegalClaimsRemote work
- ...analytic leadership across the US legal entity portfolio, including... ...with Pricing, local Finance, Claims, Underwriting, and the Americas... ..., auditors, and peer reviewers. The AVP, Senior Reserving... ...loss reserves. Coordinate with Risk Group Actuarial, internal/external...LegalClaimsTemporary workWork experience placementWork at officeLocal areaRemote workWorldwideRelocation package2 days per week3 days per week
- ...As a Medical Records Examiner with the Department of Human Services... ...promote compliance, and conduct reviews of provider practices. This... ...Review: Examine medical records, claims, and related documents to... ...discussions with supervisors and legal staff and provide testimony when...LegalClaimsFull timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeMonday to Friday3 days per week
- 1300 Epiq Class Action & Claims Solutions, Inc. is seeking a Claims Analyst responsible for reviewing and determining eligibility for a range of legal administration claims. The role demands adherence to policies and departmental standards. The ideal candidate will have...LegalClaims
$85.2k - $159.3k
...Supervising Associate – Technology Reviews Overview Ethics, Compliance, and Risk Management (ECRM)... ...as well as dealing with claims and any queries regarding... ...to drive compliance with legal and regulatory... ...regulatory requirements (e.g., Records of Processing Activities...LegalClaimsWork experience placementSummer holidayLocal areaFlexible hours$92.5k - $140k
...solutions, from elder care to legal and financial challenges, insurance... ...role, the Senior Actuarial Analyst will provide actuarial support... ...Underwriting and Analytics to review segment performance and... ...Monitor emerging trends in both claims and premiums Monitor performance...LegalClaimsTemporary workWork at officeRemote workFlexible hours$80.55k - $115k
...to apply for the Third Party Risk Analyst : Advisory role at Jack Henry... ...and perform final governance review and approval of risk assessments... ...business units, procurement, legal, compliance, information... ...pursuing any discrimination claim, or cooperating in related investigations...LegalClaimsFull timeWork at officeLocal areaRemote work$70k - $82k
...new ways to manage their risk. As a reinsurance... ...against the risk of a major claims event. Guy Carpenter... ...Your Potential The Risk Analyst role is entry level to... ...problems when possible. Review contract documentation... ...December 2025 or Spring 2026. Legal work authorization to...LegalClaimsPermanent employmentContract workWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$97k - $132k
...together! As our new Third Party Risk Analyst , you will play a critical... ...and reporting to our legal team. You will be responsible... ...Perform thorough due diligence reviews, including the evaluation of... ..., emails and correspondence, claiming they are representatives of Anaplan...LegalClaims$86k - $124k
...safety projects within Chubb Risk Consulting's client service network... ..., and handle invoicing. Review work products from internal... ...underwriting excellence, superior claims handling expertise and local... ...Business Unit United States Legal Employer ACE American...LegalClaimsFull timeContract workTemporary workFor subcontractorLocal area$120k - $185k
...Conduct investigation. Analyze investigation/claim materials. Review contracts and construction records. Liability analysis. Analyze medical records... ...depositions. Prepare pleadings, discovery and other legal papers. Prepare discovery, dispositive and...LegalClaimsFull timeFor contractorsRemote workFlexible hours- ...Operations Specialist - Medical Records Reviewer job at OpsArmy. New York, NY. About the Role We are seeking an Operations Specialist Medical... ...completeness, and clarity. You will review provider records, legal request packets, and documentation sets to verify proper...Legal
$60k - $80k
...At New York Life, our Pension Risk Transfer (PRT) business helps... ...related to participant inquiries, claims, and death processing.... ...larger projects, with guidance and review from more senior team members.... ...employees' needs. Required Legal Notices - All Candidates Please...LegalClaimsContract workWork at officeLocal areaFlexible hours3 days per week
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