Litigation Claim Case Manager

Our Company

Logica Ratio is a leading provider of technology-enabled services for expert witness testimony in personal injury liability claims. Our Litigation Claim Case Managers support our expert panel in conducting medical record and billing reviews to assist clients in resolving liability claims. We offer solutions for law firms, corporations, and government agencies. As trusted case managers, we let our clients focus on what matters most. Leveraging our healthcare industry expertise, we guide clients through their cases to boost productivity, deliver sustainable value, reduce operating costs, and enhance the expert review process.

Responsibilities

Role Description 

This is a full-time remote role for a Litigation Claim Case Manager with professional experience as a nurse, physician assistant, or equivalent. The Litigation Claim Case Manager will be the primary point of contact between the company, clients, and experts. The Litigation Claim Case Manager will be responsible for reviewing the client request, medical and billing records, assigning and sending the records to the appropriate expert, performing quality control of the expert’s report, coordinating calls, and returning the deliverables to the client in a timely manner.  

• Extremely detail-oriented individual with an understanding of medical terminology is required. 
• Individuals in this position must understand the importance of accuracy, thoroughness, and timeliness while adhering to company guidelines and flexing between case reviews. 
• Review daily case review deadlines to ensure timely processing according to department standards. 
• Meet deadlines set by the client and internally to ensure client satisfaction. 
• Perform quality assurance of work products. 
• Adhere to HIPAA regulations and/or state mandates. 
• Will perform special projects as assigned. 

Qualifications

• Required: Minimum of 3 years of professional experience in at least one of these medical specialties: pain management, orthopedic surgery, spine surgery, neurology, physiatry, physical medicine and rehabilitation, or neurological surgery.
• Minimum of 3 years of  professional experience or Licensure as a Physician Assistant (PA) or Nurse Practitioner (NP) or Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) or Foreign Medical Graduate or equivalent, preferred but not required. 
• In the absence of nursing or physician assistant licensure, must have AAPC certification or equivalent with 3 or more years of experience as an outpatient or inpatient certified coder or clinical documentation specialist. 
• Solid understanding of medical terminology, different types of procedure reporting - operative vs. office vs. imaging vs. hospital vs. billing, etc. 
• Solid understanding of medical terminology, different types of medical documentation including operative reports, office notes, imaging reports, emergency medicine records, hospital records, and billing records related to the medical specialties mentioned above. 
• Understanding and experience with Medical Billing and Coding preferred, but not required. 
• Experience with or basic understanding of Medical Expert Review, Utilization Review, or equivalent, preferred, but not required. 
• Medical or Litigation Case Management experience, preferred, but not required. 
• Maintain privacy and confidentiality- we are a HIPAA compliant company. 

Computer Skills: 

• High proficiency in the use of modern technology, especially computers, and related remote work office equipment. Experience in electronically reviewing documents. A secure home office with high-speed internet access. 
• Solid working knowledge of Microsoft Office 365, Outlook, Word, Excel, Teams, SharePoint, as well as Adobe Acrobat, and other CRM software.  
• Working knowledge of computers, internet access, and the ability to navigate within an automated systems as well as a variety of software packages  
• Must be comfortable with data input and retrieving information from computer systems. 
• Demonstrated ability to use a standard desktop and Windows based computer system, including an understanding of email, internet and computer navigation. Ability to use other software as required to perform the essential functions on the job. Experience with databases, spreadsheet software and presentation software preferred. 

Skills and Competencies

• Must be a team player. 
• Demonstrate qualities of competency, accountability, initiative, and leadership. 
• Excellent interpersonal skills in dealing with physicians, clients and co-workers. Must be a team player with good interpersonal skills. 
• Strong verbal, writing and organizational skills, including good command of English. Draft emails to clients and experts that are well written, logically structured. 
• Must demonstrate exceptional communication skills (verbal and written), email, virtual meetings, interpersonal, collaboration and relationship-building skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. 
• Strong critical thinking skills and ability to integrate knowledge. Prioritization and organizational skills required. Effective presentation/facilitation skills to accomplish educational goals for all members of the team. 
• Must be comfortable operating independently in a remote office setting with little or no supervision, prioritize work activities, and use time efficiently. 
• Must be able to work in a collaborative, virtual environment. 
• Ability to work on various assignments simultaneously and to communicate tactfully, verbally and in writing with clients, experts, and coworkers to resolve problems and negotiate resolutions. 
• Well-organized and able to manage multiple tasks with great attention to detail. 
• Must have an orientation toward detail. 
• Must possess the ability to manage change, delays, or unexpected events appropriately. 
• Ability to synthesize and distill information from diverse sources and assemble in user-friendly format. 
• Flexibility and ability to respond quickly and positively to shifting demands. 
• Ability to work under pressure to meet strict deadlines which include occasional nights and weekends. 
• Acute judgment, problem-solving, and cognitive skills with aptitude for resolving issues and conflicts 
• Continuous learner with ability to learn quickly on the job 
• Handle rush and urgent cases in accordance with office policy for prioritization. 
• Ensure that all tasks are completed timely and submitted by the specified deadline 
• Must be able to work in a fast-paced, busy environment, perform repetitive tasks quickly and accurately, and work well under pressure or stressful conditions. 
• Ability to follow instructions and respond to directions accurately. 
• Demonstrates accuracy and thoroughness. 
• Demonstrates reliability and abides by the company attendance policy. 

What We Offer 

• A friendly and welcoming team-oriented environment 
• Opportunities for career advancement and growth 

Our Cultural Values 

• We are a client-first team with shared values, including integrity, compassion, and continuous learning. We seek team members who possess a personal presence characterized by honesty, humility, integrity, and caring, as well as the ability to inspire and motivate others to promote our company's philosophy, mission, vision, goals, and values.  
• Our culture shapes our actions, our products, and the relationships we forge with our customers. 

Benefits 

• AD&D insurance 
• Dental insurance 
• Disability insurance 
• Flexible spending account 
• Health insurance 
• Health savings account 
• Life insurance 

As a member of our team, you'll find fulfillment in working for a people-focused organization dedicated to serving the needs of all stakeholders and the greater good. You will be more than just an employee; you will be an expert in your field and a valued team member whose efforts are respected and vital to our mission.

All employees are committed to fulfilling their duties with the highest regard for professionalism, collaboration, and teamwork, always focusing on growth and improvement. We serve with commitment and compassion, positioning ourselves for the future by embracing innovation and driving positive change.

Since 2018, we have been delivering services that adhere to the industry's highest standards of excellence. With over 250 clients and collaborations with more than 150 experts across Texas, California, Nevada, and the United States, we are dedicated to addressing the needs of all stakeholders and contributing to the broader welfare.