Responsible for the management of medical care for crew who are medically disembarked in ports of call and/or are repatriated to their home country or designated medical center for medical care
Provides direct oversight of medical care and services coordinated through appropriate medical providers, via collaboration with intermediaries, port and/or agents as needed, in assigned countries/regions
Maintains the privacy of all Protected Health Information (PHI) in compliance with applicable HIPAA and GDPR regulations
Exercises independent judgment and discretion to identify high exposure/significant medical cases expected to exceed applicable deductibles
Communicates with crew to ensure understanding of benefits and risks associated with complex surgical procedures, treatment plans and medications
Facilitates communications with crew member’s emergency contact/family to advise of medical status and company’s actions to provide care or efforts in repatriation of remains in case of crew member’s death abroad
Participates in case review meetings of active medical and/or litigated cases.

Bachelor’s degree or equivalent experience in health care or case management required
Minimum of three (3) years case management experience in handling Maritime/Jones Act and/or personal injury cases
Ability to work flexible work schedules and weekend days to support fleet and department as assigned and/or required
Registered Nurse (RN) highly preferred
Strong independent decision-making ability regarding care management plan for ill/injured crew based on merits of each case and review of all medical records and treating physician recommendations
Excellent communication skills both written and verbal
Ability to read, analyze and interpret business/professional documents
Able to effectively summarize complex and at times, voluminous medical records
Bi-Lingual preferred but not required (i.e., Spanish, Tagalog)
Understanding of medical terminology
Detail oriented
Ability to perform basic math, compute, calculate, percent and to interpret bar graphs
Computer Skills required: Microsoft Office, Lotus Notes, PeopleSoft
Will need to learn Riskonnect and SeaCare for the management of cases.

Senior Compliance Analyst

Key skills