Medical Record Interpretation & Strategy:

- Review initial medical reports to assess injury severity (e.g., soft tissue vs. surgical)
- Read daily medical notes to understand why a doctor is recommending specific treatments (MRIs, injections, etc.)
- Determine causality: Verify that the treatment billed is actually related to the accident and not a pre-existing condition.

Financial Gatekeeping (Funding):

- Act as an internal "Insurance Adjuster": Approve or deny treatment requests based on the patient's Policy Limits

"Traffic Controller" / Network Management:

- Coordinate referrals: Send patients to providers specifically within the client's approved network
- Radius Management: Locate providers near the patient's home to ensure they actually attend appointments
- Manage patient cycle

Caseload Management:

- Manage a pipeline of 25–30 active cases simultaneously.
- Serve as the primary bridge between the Patient, the Medical Provider, and the Attorney.

Qualifications

Education:

- Must be able to read and interpret clinical notes,



surgical recommendations, and diagnostic results independently.

Experience:

- Must have Case Management experience specifically supporting a US Personal Injury (PI) Law Firm or Medical Funding/Lien Company
- Experience coordinating with attorneys and understanding the lifecycle of a PI lawsuit (Intake > Treatment > Settlement)

Preferred (Bonus) Qualifications

- Experience handling cases in Colorado, Arizona, or other states where at-fault insurance pays.

- Experience with Letters of Protection (LOP) or Medical Liens.

- Experience with legal CRMs (Filevine, Salesforce, Smart Advocate, etc) is a strong plus, showing adaptability to complex software.

Job Type: Full-time

Application Question(s):

- How many years of experience handling lien?
- How many years of experience handling Personal Injury cases?

Work Location: In person

📌 Case Manager (Personal Injury) (Colombia)
🏢 VCG Global
📍 Colombia