• Job Description

  Req#: 1029
  Sanderson Firm is a woman-owned company specializing in Medicare Secondary Payer (MSP) compliance services. Our team of legal and clinical professionals brings more than 700 years of combined MSP industry experience, serving insurance carriers, self-insured companies, third-party administrators, and governmental entities across the country.
  
  Recognized as one of the fastest-growing MSP compliance companies, Sanderson Firm was ranked #92 on the 2025 Inc. 5000 list of fastest-growing privately held companies in America. We are proud of our 100% client retention rate and our reputation for delivering innovative solutions that help clients achieve MSP-compliant settlements.
  
  At Sanderson Firm, you'll join a fast-growing, collaborative team where your work makes a meaningful impact on our clients and the industry. We are committed to fostering a supportive environment where employees are valued, ideas are encouraged, and contributions directly help shape the future of our firm. Join us today!
  
  JOB SUMMARY:
  
  Medicare Set-Aside Specialist Trainee will work alongside experienced professionals to learn the skills necessary to develop their skills and career in preparing future medical allocations. The position will provide the opportunity to gain practical experience and industry knowledge on the job. The Medicare Set-Aside Specialist Trainee position is responsible for developing future medical allocation reports based upon both evidence-based medical guidelines and guidance published by the Centers for Medicare and Medicaid Services under the guidance of an expert trainer. Over time, the individual will develop the skills to work independently to develop Medical Cost Projections and Medicare Set-Asides for workers' compensation and liability settlements based on published standards of practice.
  
  JOB RESPONSIBILITIES:
  • Review and analyze medical records, billing/payment records, and pharmacy payment histories, to identify an injured person's past, current, and future treatment needs related to the accident.
  • Prepare medical record summary narrative that is clear and concise.
  • Understand and apply evidence based medical treatment guidelines, and/or CMS guidelines to future care recommendations.
  • Document rationale for findings and analysis of the case.
  • Identify and outline Medicare and Non-Medicare covered treatment.
  • Identify and insert appropriate CPT, HCPCS, and ICD codes based on case specifics.
  • Interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers.
  • Maintain established company quality standards.
  • Meet weekly production goals.
  • Attain Medicare Set-Aside Certified Planner (MSACP) certification within 3 months of hire.
  
  JOB SKILLS:
  • Proficient in Microsoft Office Suite, including Word and Excel document preparation.
  • Effective multi-tasking skills in a high-volume environment.
  • Excellent written and verbal communication skills.
  • Ability to meet designated deadlines in a fast-paced production environment.
  • Strong interpersonal, time management and organizational skills.
  • Ability to work both independently and within a team environment.
  • Strong attention to detail.
  
  EDUCATION / EXPERIENCE (one of the below):
  • Graduate of accredited school of nursing (BSN/LPN) or Registered Nurse (RN) license.
  • 3-5 years case management, utilization review or claims management experience.
  
  WHAT WE OFFER YOU:
  
  We believe in supporting our team both professionally and personally. Our benefits include:
  
  • 100% Employer-Paid Medical Insurance options for employees
  • Dental & Vision Coverage
  • 401(k) with Company Match
  • Company-Paid Life Insurance
  • Optional Short Term Disability, Accident Insurance and more
  • Paid Time Off & Holidays
  • Supportive and team-oriented culture

• About the company

  The best remote jobs for you

Notice