Review the relevant medical information abstracted from medical records and then analyze the claim Knowledge of US Insurance /Medical Claims/US Healthcare is preferable In depth knowledge of medical terminology and body systems Ability to interpret medical records, correlate clinical knowledge with available medical data to create medical summary as per product guidelines Knowledge of Short and Long Term Disability will be an added advantage Understanding of lifestyle disorders like diabetes, hypertension, obesity, etc. that complicates the normal line of treatment of fracture/pain/soft tissue injuries (helpful in creating treatment plan and recommendations) Able to differentiate subjective and objective findings in medical records.
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