Key Responsibilities

1. Medical Review & Case Evaluation

-Review medical records and treatment plans related to motor vehicle accidents (MVA).

-Assess injury severity and determine if treatments are necessary.

-Verify if injuries are accident-related and identify pre-existing conditions.

-Review MRIs, surgical recommendations, injections, and other medical procedures before approving funding.

2. Claims & Funding Management

-Approve or deny treatment requests based on policy limits and estimated settlement value.

-Manage Letters of Protection (LOPs) and medical liens.

-Review medical bills to ensure charges are accurate and reasonable.

-Prevent billing issues such as overcharging or upcoding.

3. Provider & Case Coordination

-Coordinate patient treatment with approved medical providers.

-Find providers close to the patient's location to improve treatment consistency.

-Monitor cases throughout the treatment phase to avoid delays before settlement.

4. Communication & Support

-Act as the main point of contact between patients, medical providers, and attorneys.





-Handle concerns related to denied treatments or billing disputes.

-Coordinate with legal teams and medical offices for smooth case processing.

Qualifications

Required Skills

-Strong understanding of medical records, treatment plans, and diagnostic reports.

-Experience using CRM systems such as Filevine, Salesforce, or Smart Advocate is preferred.

-Knowledge of medical billing and personal injury case processes.

Experience

-At least 2 years of experience in:

US Personal Injury Law Firms, or

Medical Funding/Lien Companies

-Understanding of the PI case process:

-Intake

-Treatment

-LOP/Lien Filing

-Settlement

Preferred Qualifications

-Background in Nursing, Physical Therapy, or related healthcare field.

-Experience handling medical liens and Letters of Protection (LOPs).

-Familiarity with At-Fault insurance states such as Colorado and Arizona is an advantage.

📌 Bilingual Case Manager (Colombia)
🏢 Virtual Champs Global
📍 Colombia