New York Liability IME Specialist

Job Summary

Dane Street is seeking an experienced New York Liability IME Specialist to support our growing Liability division. This role serves as the medical-legal subject matter expert throughout the Independent Medical Examination (IME) process.

Major Duties & Responsibilities

• Review referrals to determine the appropriate medical specialty and expert(s) based on the allegations, claimed injuries, treatment history, and litigation strategy
• Analyze Bills of Particulars, medical records, diagnostic studies, operative reports, deposition testimony, and attorney correspondence
• Interpret complex medical terminology and treatment records to understand the nature and progression of injuries
• Identify missing documentation, inconsistencies, or additional information needed prior to physician review
• Match cases with the most appropriate New York liability medical expert based on specialty, expertise, venue, injury type, and case complexity
• Aid in identifying physician recruiting needs based on client demand and market gaps
• Review IME reports to ensure all client questions have been fully addressed. Evaluate reports for medical accuracy, consistency, completeness, and defensibility
• Coordinate report revisions directly with physicians when necessary
• Serve as a medical-legal resource for internal teams and clients
• Communicate professionally with physicians, physician offices, claims professionals, attorneys, and internal stakeholders
• Assist with complex referrals and resolve case-specific issues
• Collaborate with Scheduling, Operations, QA, Credentialing, and Sales to ensure timely case completion

Experience Required

• Minimum of 5 years of experience in one or more of the following: New York automobile liability claims, bodily injury claims, personal injury litigation, insurance defense litigation, independent medical examination (IME) operations, insurance defense paralegal work

Required Knowledge

• Strong working knowledge of: New York automobile liability claims, bodily injury and personal injury litigation, independent medical examinations (IMEs), Bills of Particulars, medical terminology, medical records interpretation, diagnostic studies and treatment records, New York liability physician specialties and defense experts

Skills & Competencies

• Exceptional analytical and critical thinking abilities
• Strong understanding of medical rationale and report quality
• Excellent written and verbal communication skills
• Outstanding organizational and time management skills
• High attention to detail and professional judgment
• Proficiency with Microsoft Office and case management systems

Benefits

• Comprehensive benefits package including medical, dental, and vision coverage, short-term and long-term disability, and a 401k plan with a company match
• Voluntary benefits such as hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Apple equipment and a media stipend for remote workspace

About Dane Street

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street 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.