MedRisk · 6 hours ago
Business Operations Analyst I
CA, US
Full-time
Onsite
Mid, Senior Level
5+ years expMedRisk is a company focused on managing complex appeals in the workers' compensation sector. The Business Operations Analyst I will be responsible for reviewing and evaluating complex appeals cases, drafting responses, and collaborating with legal counsel to support case resolutions.
Hospital & Health Care
Responsibilities
Review and evaluate complex appeals cases involving disputed workers’ compensation claims
Draft detailed and persuasive appeal responses and documentation
Collaborate with legal counsel, gather necessary documentation, and support case resolution
Track and manage appeal timelines to ensure all deadlines are met
Identify trends and recurring issues in appeals and recommend process improvements
Maintain accurate and thorough documentation in the claims management system
Qualification
Required
5+ years of experience in workers' compensation claims or appeals
Strong understanding of workers' compensation regulations, medical terminology, and legal processes
Excellent written and verbal communication skills, with the ability to draft clear and persuasive documentation
High attention to detail and ability to manage multiple complex cases independently
Proficient in claims management systems and Microsoft Office Suite
Strong analytical and problem-solving skills
Preferred
Certification in Workers' Compensation (e.g., CWCP, WCCA/WCCP)
Experience working with multi-state WC programs or in a TPA, insurance carrier, or medical cost containment company
Company
MedRisk
Founded in 1994 and headquartered in Conshohocken, Pennsylvania, MedRisk was established with a mission to revolutionize physical rehabilitation for workers' compensation patients.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Srivatsan Sridharan
Chief Executive Officer
Kenneth Martino
Chief Financial Officer
Company data provided by crunchbase