Sanderson Firm PLLC: Company Profile

Background

Overview

Sanderson Firm PLLC is a woman-owned law firm specializing in Medicare Secondary Payer (MSP) compliance services. Founded in 2021 by Heather Schwartz Sanderson, Esq., the firm is headquartered in Bradenton, Florida. With a team of legal, clinical, and claims professionals boasting over 200 years of combined experience in the MSP industry, Sanderson Firm serves as trusted counsel and compliance partner to leading insurance carriers, self-insured companies, third-party administrators, regional insurers, and governmental entities.

Mission and Vision

The firm's mission is to provide customizable and innovative MSP compliance solutions to aid clients in achieving settlement of their claims. Leveraging extensive subject matter expertise and legal know-how, Sanderson Firm aims to deliver top-notch service on every file it handles.

Industry Significance

As a woman-owned business, Sanderson Firm holds national certification from the Women's Business Enterprise National Council (WBENC), reflecting its commitment to diversity and inclusion within the legal and insurance sectors.

Key Strategic Focus

Core Objectives

Sanderson Firm focuses on delivering actionable, legal compliance advice and services in all areas of MSP compliance, distinguishing itself from traditional big-box vendors in the industry. The firm emphasizes client satisfaction, as evidenced by its 100% client retention rate.

Areas of Specialization

The firm's primary areas of specialization include:

Medicare Conditional Payment Resolution and Appeals

Medicare Set-Asides

Opinion Letters

Settlement Agreement Review

Mandatory Insurer Reporting (MMSEA Section 111) Reporting/Guidance

MSP Best Practice Improvement

MSP Expert Testimony

Key Technologies Utilized

While specific technologies are not detailed in the available sources, the firm's innovative approach suggests the use of advanced legal and compliance management tools to enhance service delivery.

Primary Markets Targeted

Sanderson Firm primarily targets the insurance and legal communities, offering MSP compliance services to both large-scale insurers and smaller, regional carriers, as well as governmental entities.

Financials and Funding

Funding History

Specific details regarding the firm's funding history, total funds raised, and recent funding rounds are not publicly disclosed.

Notable Investors

Information about individual investors or venture capital involvement is not available.

Utilization of Capital

The firm has utilized its resources to expand its service offerings, enhance compliance solutions, and maintain a high client retention rate.

Pipeline Development

As a service-oriented firm specializing in MSP compliance, Sanderson Firm does not have a product pipeline or clinical trials. Instead, it focuses on developing and refining its service offerings to meet the evolving needs of its clients.

Technological Platform and Innovation

Proprietary Technologies

While specific proprietary technologies are not detailed, the firm's innovative approach indicates the use of advanced legal and compliance management tools to enhance service delivery.

Significant Scientific Methods

The firm employs comprehensive legal strategies and compliance solutions, including Medicare Set-Asides and Conditional Payment resolutions, to navigate complex MSP regulations effectively.

Leadership Team

Heather Schwartz Sanderson, Esq.

Position: Founder and Chief Executive Officer

Professional Background: Heather is a recognized national expert in MSP compliance, actively engaging as a speaker and author. She has previously served as Chief Legal Officer at Franco Signor (now Verisk) and held roles at Optum and ExamWorks Compliance Solutions.

Jennifer Wallace

Position: Assistant Vice President of Finance & Human Resources

Leadership Changes

Specific details regarding recent leadership changes or appointments are not publicly disclosed.

Competitor Profile

Market Insights and Dynamics

The MSP compliance sector is characterized by a growing need for specialized legal services due to the complexities of Medicare regulations. Firms like Sanderson Firm are positioned to capitalize on this demand by offering tailored compliance solutions.

Competitor Analysis

Key competitors in the MSP compliance space include:

Esbrook Law: Specializes in MSP compliance with a focus on legal strategies.

Grabar Law Office: Offers services related to Medicare compliance and settlements.

Thomas Paschos & Associates: Provides MSP compliance services with an emphasis on legal counsel.

Plaintiff Allocations: Focuses on Medicare compliance in the context of plaintiff settlements.

West Corzine: Specializes in MSP compliance and related legal services.

Strategic Collaborations and Partnerships

In collaboration with WorkCompCollege, Sanderson Firm developed MSPCollege in 2024 to offer comprehensive Medicare Secondary Payer virtual accreditation programs, including the Medicare Secondary Payer Accreditation (MSPA) and the Medicare Set-Aside Certified Planner (MSACP) accreditation.

Operational Insights

Sanderson Firm differentiates itself by providing actionable, legal compliance advice in all areas of MSP, ensuring clients benefit from confidential, attorney-client privilege for all compliance concerns.

Strategic Opportunities and Future Directions

The firm's strategic roadmap includes expanding its service offerings, enhancing compliance solutions, and maintaining a high client retention rate. Its innovative approach and commitment to client satisfaction position Sanderson Firm to achieve future objectives in the MSP compliance sector.