Liability IME Operations Specialist

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

📋 Description

• Intake and assess new cases, verifying information and requests. Prepare cases by entering details into the Dane Street system, AccessDS.

• Collaborate with clients to obtain any missing information essential for claim processing.

• Organize and create a medical document listing if required by the client and in line with specific special handling guidelines.

• Assign and schedule new cases to physicians for review, selecting the appropriate physician based on location, availability, specific guidelines, jurisdictional requirements, and other client demands.

• Verify that the assigned physician has no conflicts of interest concerning the case assignment.

• Monitor, process, and track cases to ensure deadlines are met.

• Review accompanying reports with medical records to confirm they are complete and that all client inquiries have been addressed.

• Follow up with reviewers for any additional questions or clarifications required.

• Provide regular updates to clients regarding referral progress.

• Ensure the report is free of grammatical errors and spelling mistakes.

• Confirm that each referral complies with the QA checklist before completion.

• Maintain clear and concise communication among the customer, reviewer, and Operations team.

• Confidently discuss the content of IME/record reviews with physicians and clients.

• Give frequent updates to clients on cases that are in progress.

• Ensure proper documentation for designated cases is provided to the client.

⛳️ Requirements

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

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

• Operations experience with technology-driven processes within the business sector.

• Exhibit exceptional communication skills with a solid understanding of company business lines.

• Ability to apply critical thinking, manage time effectively, and meet specific deadlines.

• Computer literacy and proficient typing skills are essential.

🏝️ Benefits

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