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Our Settlement Solutions team

Optum was the first workers’ compensation company to integrate Medicare Set-Aside (MSA) services into a comprehensive portfolio of pharmacy and medical services programs. We continue to innovate to meet the evolving needs for Medicare Secondary Payer (MSP) compliance regulations in workers’ compensation and liability settlements. Applying the industry’s deepest knowledge bank of pharmacy, medical, claims, and legal expertise, we consistently deliver proven solutions for cost containment. 

What we do:
Optum’s Settlement Solutions division is a premier provider of MSA allocations and a leader in MSP compliance education, preparation and programs. Our focus involves providing innovative services that help drive down settlement costs while maintaining regulatory compliance. We are recognized as the industry-leading advocate on issues such as prescription allocations in MSAs that limit the ability of payers to achieve fair and equitable settlements and impede business productivity. From formulating medically based alternative methodologies for regulatory consideration to developing new solutions as industry needs unfold, we use our unique set of multi-disciplinary competencies to support understanding and communication across the industry.

  • Rafael Gonzalez, Esq. | President, Settlement Solutions

  • Lorenzo Garza | Manager of Operations

  • Frank Fairchok | Vice President, Medicare Compliance Reporting & Development

  • Lavonya Chapman, Esq., RN, CMSP | Associate General Counsel