Disability Claims - Quality Assurance Specialist - Remote
About The Position
Are you passionate about ensuring accuracy and quality? The IMA Group is seeking a dedicated Quality Assurance Specialist to join our team. This remote role focuses on maintaining the highest standards in reviewing reports and addenda generated by our physician panel. This position is not considering candidates from New York City, Chicago, California, Colorado, or Washington states at this time. The hourly rate for this position ranges from $25 to $28, based on experience. The IMA Group is an Affirmative Action/Equal Opportunity Employer Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities. #LI-RC1 #LI-REMOTE
Requirements
- Associate degree required; Bachelor’s degree preferred. Clinical background highly desired.
- 1-3 years of related experience in claims management or quality assurance, with at least 1 year in Disability claims.
- Must have excellent attention to detail and be able to learn client guidelines thoroughly, while also working on tight turnaround times.
- Must be proficient in Microsoft Word. Experience with Microsoft Excel also desired.
Nice To Haves
- Bachelor’s degree preferred.
- Clinical background highly desired.
- Additional experience in Worker’s Compensation is desired.
- Experience with Microsoft Excel also desired.
Responsibilities
- Review IME reports, addenda, peer reviews, and other documentation to ensure accuracy, completeness, and adherence to formatting guidelines.
- Address issues in referral letters and ensure all quality assurance expectations are exceeded.
- Process revisions, follow up on pending changes, and re-review corrected reports to maintain high-quality standards.
- Communicate effectively with team members and supervisors, providing regular updates on report status and managing addendum requests from start to finish.
- Monitor deadlines, including urgent client requests, to ensure timely report completion and release.
- Deliver exceptional customer service by addressing client issues promptly and streamlining communication with all stakeholders involved in the IME and file review process.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
