Role OverviewMaintain quality compliance by identifying specific requirements and ensuring the work product is completed to client specifications and/or state mandates. Work in a hybrid environment, with remote work and occasional in-person work in Hamilton, NJ.
What You Will Do
Perform quality assurance review of independent medical examination reports, peer review reports, correspondences, addendums or supplemental reviews. Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
Why It Might Be a Fit
Must demonstrate exceptional communication skills, maintain confidentiality, and work well under pressure and/or stressful conditions. Proficiency in Microsoft Office applications is essential.
Requirements
- College degree preferred or years of experience in claims adjusting, nursing degree preferred but not required.
- Excellent time management, problem solving and organizational skills and the ability to work independently are required.
- Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
- Must be able to maintain confidentiality.
- Must be able to stay focused and concentrate under normal or heavy distractions.
- Must be able to work well under pressure and/or stressful conditions.
- Must possess the ability to manage change, delays, or unexpected events appropriately.
- Demonstrates reliability and abides by the company attendance policy.
- Proficiency in Microsoft Office applications is essential.
- Knowledge of claims/medical terminology and/or No Fault, Workers Compensation or Liability is preferred.
- Experience reading IME and/or Peer Review reports is preferred but not required.
Benefits
- Dental insurance
- Vision insurance
- Health insurance
- 401(k) or retirement plan
- Paid time off (vacation, sick leave)
- Paid holidays
]]>