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Rafael Gonzalez

As President of Settlement Solutions, Rafael Gonzalez is responsible for all aspects of Medicare and Medicaid compliance issues, including Mandatory Insurer Reporting, Conditional Payment Resolution, Medicare Set Asides, MSA Post Settlement Administration, Third Party Lien Reimbursement and Special Needs Trusts Administration.

Rafael has over 35 years of experience in the auto, liability, no-fault and workers’ compensation insurance industries. He has written extensively on liability, workers’ compensation, social security and Medicare/Medicaid issues and has taught these subjects at several law schools and medical schools in Florida. He continues to lecture throughout the country on these topics.

Rafael has been actively engaged in legislative matters concerning workers’ compensation, social security and Medicare/Medicaid at both the state and federal levels. He has attended hearings, testified before legislative committees and executive commissions, and served as a consultant to legislative and congressional staff. He received the Presidential National Service Award from President George W. Bush for his work on improving the Medicare Secondary Payer system and again by President Barack Obama for his work and support of the Affordable Care Act.

Rafael earned his Bachelor of Science from The University of Florida and his Jurisprudence Doctorate from Florida State University. He contributes regularly to a series on workers’ compensation, social security and disability and Medicare Set-Asides. You can follow him on LinkedIn here.

Topics

Claims handling and litigation

Conditional Payments resolution

Set-Aside allocations 

Medicare Secondary Payer compliance

Mandatory Insurer Reporting

MSP compliance requirements

Rafael Gonzalez
President of Settlement Solutions
Rafael.Gonzalez@​optum.com

175 Kelsey Lane
Tampa, FL 33619