IME Quality Analyst – Workers' Compensation

This is a fully remote position, open to applicants in United States.

📋 Description

• **JOB SUMMARY**

• The Quality Analyst is tasked with overseeing various elements of the medical file review process. They will assess completed referrals to ensure that client inquiries have been adequately addressed and will examine the finalized reports for accuracy, ensuring that both client and departmental standards are upheld.

• The success of Dane Street hinges on the contributions of individuals and teams on a daily basis. We prioritize the well-being of our customers, our colleagues, and Dane Street itself. It is the collective responsibility of all team members to foster a positive work environment that enhances client satisfaction and yields results.

• **MAJOR DUTIES & RESPONSIBILITIES**

• * Quality Audits*

- Reviews reports that accompany medical records to verify that they are complete and that all client questions have been addressed.

- Engages with the reviewer for any further questions or need for clarification.

- Communicates with the client if there are any additional inquiries.

- Provides clients with regular updates on the progress of referrals.

- Ensures reports are free from grammatical errors and typos.

- Confirms that each referral complies with the QA checklist before completion.

- Formats reports for final approval.

• * Communication*

- Clearly and concisely communicates with customers, reviewers, and the Operations team.

- Must confidently engage with physicians and clients regarding the content of their peer reviews.

• Other duties and special projects may be assigned based on business needs.

⛳️ Requirements

• **EDUCATION/CREDENTIALS:**

• An Associate’s Degree or Bachelor’s Degree is preferred.

• **JOB RELEVANT EXPERIENCE:**

• Previous business experience in a healthcare and/or insurance environment is preferred.

• Experience with technology-driven processes within the business landscape.

• **JOB RELATED SKILLS/COMPETENCIES:**

• Demonstrate exceptional communication skills with a solid understanding of company business lines. Ability to apply critical thinking, manage time effectively, and meet specific deadlines. Proficiency in computer literacy and typing skills is essential.

• **WORKING CONDITIONS/PHYSICAL DEMANDS:**

• Any lifting, bending, traveling, etc., required to perform the listed job duties. Prolonged periods of sitting and working on a computer.

• **WORK FROM HOME TECHNICAL REQUIREMENTS:**

• Must provide and support their own internet services.

• Maintaining a stable internet connection is a requirement for all work-from-home positions.

🏝️ Benefits

• Join our team at Dane Street and benefit from a comprehensive package designed to support your well-being and peace of mind. We offer a variety of benefits, including medical, dental, and vision coverage for you and your family. Additionally, we provide voluntary life insurance options for you, your spouse, and your children. Other voluntary benefits include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees also receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy allows you to relax and recharge, while our 401k plan with company matching helps you prepare for your future. Apple equipment and a media stipend are provided for your remote workspace.

• ABOUT DANE STREET:

• A dynamic, Inc. 500 Company with a high-performance culture, is in search of insightful and 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 offer customized Independent Medical Exams and Peer Review programs that assist our clients in achieving the appropriate medical determinations as part of the claims management process.