Washington Remote IME Quality Analyst | Work Comp/L&I

Job Title: IME Quality Analyst (Remote Position)

Job Overview

We are in search of a committed IME Quality Analyst to oversee various elements of the medical file review process. In this pivotal role, you will ensure that client inquiries are addressed with precision and that reports are both accurate and compliant with established standards. The ideal candidate will exhibit strong attention to detail, possess outstanding communication skills, and demonstrate a dedication to fostering a positive work atmosphere that enhances client satisfaction and outcomes.

Key Responsibilities

• Conduct thorough quality audits by reviewing reports and relevant medical records for completeness, ensuring all client queries are answered.
• Collaborate with reviewers for any additional clarifications required.
• Maintain proactive communication with clients to address further inquiries and provide regular updates on referral statuses.
• Guarantee that reports are grammatically correct and free from typographical errors, adhering to the quality assurance checklist before finalization.
• Format reports appropriately for approval.
• Act as an effective communicator among clients, reviewers, and the Operations team.
• Confidently discuss peer review content with medical professionals and clients.
• Undertake other responsibilities and special projects as directed based on operational needs.
  
  

Required Skills

• Excellent communication abilities with a solid understanding of business operations.
• Strong critical thinking skills and the capacity to manage time effectively to meet deadlines.
• Proficiency in computer usage and typing skills is essential.
  
  

Qualifications

• An Associate's Degree or Bachelor's Degree is preferred.
• Relevant experience in a healthcare and/or insurance environment is advantageous.
• Familiarity with operations related to Peer Review, Utilization Review (UR), and/or case management.
• Experience with technology-driven processes in a business context.
  
  

Career Growth Opportunities

This role offers an excellent opportunity for professional development and advancement within a dynamic and fast-paced organization. You will contribute to meaningful projects that significantly impact the healthcare and insurance sectors, paving the way for future growth in your career.

Company Culture and Values

We pride ourselves on our high-performance culture that values insightful and forward-thinking professionals. Our team handles a substantial volume of insurance claims annually, providing tailored Independent Medical Exams and Peer Review programs to assist clients in making appropriate medical determinations as part of the claims management process.

Compensation And Benefits

Join our team and take advantage of a comprehensive benefits package designed to enhance your well-being and offer peace of mind. Our offerings include:

• Medical, dental, and vision insurance for you and your family.
• Voluntary life insurance options.
• Additional voluntary benefits such as hospital indemnity and pet insurance.
• Basic life insurance and short-term/long-term disability coverage at no cost.
• A generous paid time off policy.
• A 401k plan with company matching to secure your financial future.
• Provision of Apple equipment and a media stipend for your remote workspace.
  
  

If you are passionate about quality assurance, possess a keen eye for detail, and thrive in a vibrant environment, we encourage you to apply for this exciting opportunity. Join us in making a meaningful impact in the healthcare and insurance sectors.

Employment Type: Full-Time