Attorney Compliance Manager in Fully

Description

Avon Risk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states.

With nearly 700 professionals and brands including Intercare, Inter Med, George Hills, AS&G Claims Administration, Allan Koba Compliance Solutions we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support.

Allan Koba Compliance Solutions is a growing Medicare Secondary Payer service provider with a national client base comprised of high-profile and globally recognized businesses.

We focus on balancing our clients’ needs with Medicare Secondary Payer demands in a manner that saves time and money.

Our promise is to deliver effective solutions in a prompt, clear and efficient manner.

We are experiencing tremendous expansion and currently seeking an Attorney Compliance Manager to join our team.

As an Attorney Compliance Manager, you will provide the legal analysis and judgment that support the Medicare Set-Asides we deliver.

You will analyze applicable statutes and regulations, review medical, payment, and claim records, assess the future care Medicare is likely to expect, and advise clients on resolving settlements while protecting Medicare’s interests.

The work is high-volume and deadline-driven.

Our model is attorney-led: you spend your time on attorney work, supported by a strong team of nurses and operations staff and a state-of-the-art, AI-enabled platform.

Prior MSP experience is preferred but not required.

We provide training on MSP requirements and CMS practices.

Candidates with experience reviewing medical records or handling workers’ compensation matters may progress through training more quickly.

• Who Thrives Here
• Composed and credible with clients, including when the conversation is difficult
• Owners of their files who follow through without being chased
• Curious about the medicine behind a file, not just the legal rule
• Comfortable making sound judgment calls and explaining their reasoning
• Proactive communicators who do well on a fully remote, collaborative team
• Open to feedback and eager to learn new tools, including AI-enabled technology
• Workers’ compensation law, claimant or defense (strongly preferred)
• Medical malpractice, personal injury, insurance defense, subrogation, Social Security disability, or claims handling
• Medicare Secondary Payer compliance, Medicare Set-Asides, Section 111 reporting, or conditional payment and lien resolution
• Admission to a state bar (preferred, not required)
• Comfort with document management systems and AI-enabled tools

Qualifications

• Juris Doctor (J. D.) from an accredited law school (required)
• Hands‑on experience reviewing and understanding medical records, ideally through a workers’ compensation lens
• Ideally 2–7 years of legal experience.

Recent graduates with strong medical record or workers’ compensation exposure (clinics, externships, or a prior clinical or claims career) are also encouraged to apply

• Strong legal research, writing, and analytical skills
• Excellent verbal and written communication skills, with the ability to advise clients and work with internal teams
• Exceptional organizational skills and the ability to manage multiple deadlines in a high‑volume environment
• Ability to work independently in a fully remote setting
• Proficiency in Microsoft Office Suite
• Backgrounds That Translate Well
• Workers’ compensation law, claimant or defense (strongly preferred)
• Medical malpractice, personal injury, insurance defense, subrogation, Social Security disability, or claims handling
• Medicare Secondary Payer compliance, Medicare Set-Asides, Section 111 reporting, or conditional payment and lien resolution
• Admission to a state bar (preferred, not required)
• Comfort with document management systems and AI-enabled tools

Requirements

• Review medical records, payment histories and claim documents to build accurate, defensible Medicare Set-Aside allocations.
• Develop CMS submission strategy and recommend when and how to submit.
• Respond to CMS and Workers’ Compensation Review Contractor (WCRC) development requests, amended review requests, and related correspondence.
• Serve as a trusted advisor and primary point of contact for assigned clients.
• Advise clients on MSP compliance risk in settlements, including Section 111 reporting and Medicare conditional payments.
• Research and interpret federal statutes, regulations, and CMS guidance, along with state workers’ compensation rules.
• Collaborate with nurses, operations staff, and fellow attorneys to move files through the workflow, meet delivery deadlines, and resolve client questions or issues promptly.
• Manage a caseload with firm turnaround deadlines while maintaining accuracy and thorough documentation.
• Support client onboarding, training, and presentations.

Benefits

• Avon Risk offers a competitive, people-first benefits package

• Comprehensive medical, dental, and vision benefits
• Company contributions to HSA and FSA plans
• Employer-paid life and disability insurance
• 401(k) with company match
• Paid time off (PTO) and company-paid holidays
• Employee assistance resources and a supportive culture that values balance and wellbeing
• Equal Opportunity Employer

Avon Risk is an equal opportunity employer.

All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.

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