IME Quality Analyst - Auto & Liability

Job Summary

The Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department standards have been met.

Major Duties & Responsibilities

• Reviews reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed
• Follows up with the reviewer with any additional questions or clarifications needed
• Follows up with the client should there be any additional questions
• Updates clients frequently on referral progress
• Ensures the report is grammatically correct with no spelling errors
• Ensures each referral adheres to the QA checklist prior to the completion
• Formats reports for approval

Communication

• Communicates clearly and concisely between the customer, reviewer, and Operations team
• Must confidently speak with physicians and clients regarding the content of their peer reviews

Requirements

• An Associate's Degree or Bachelor's Degree is preferred.
• Business experience in a healthcare and/or insurance setting is preferred.
• Working with technology based processes within the business environment.
• Present exceptional communication skills with a clear understanding of company business lines.
• The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
• Computer literacy and typing skills are essential.

Work Conditions/Physical Demands

• Any lifting, bending, traveling, etc. required to do the job duties listed above.
• Long periods of sitting and computer work.

Working From Home Technical Requirements

• Supply and support their own internet services.
• Maintaining an uninterrupted internet connection is a requirement of all work from home position.

Benefits

• Medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Basic life insurance, short-term disability, and long-term disability coverage at no cost.
• A generous paid time off policy ensures you have time to relax and recharge.
• A 401k plan with a company match helps you plan for your future.
• Apple equipment and a media stipend are provided for remote workspace.

About Dane Street

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.