Liability IME Operations Specialist

New
USFull-TimeMiddle
Salary not disclosed
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Job Details

Required Skills
Critical thinkingQuality Assurance

Requirements

  • Associate’s or Bachelor’s degree preferred
  • Experience in healthcare, insurance, or claims-related operations strongly preferred
  • Prior exposure to technology-enabled workflow or case management systems
  • Strong written and verbal communication skills
  • High attention to detail with strong proofreading and quality assurance abilities
  • Excellent time management and ability to prioritize multiple active cases
  • Comfortable working independently in a structured, deadline-driven environment
  • Strong computer literacy and typing proficiency
  • Critical thinking and problem-solving skills

Responsibilities

  • Intake and verify new cases, reviewing referral information and entering data into internal systems
  • Identify missing or incomplete information and coordinate with clients to resolve gaps in case documentation
  • Organize and prepare medical records, including document listings and special handling requirements
  • Assign and schedule cases to appropriate physicians based on availability, jurisdiction, expertise, and conflict-of-interest rules
  • Monitor case progress to ensure deadlines and turnaround times are consistently met
  • Conduct detailed quality reviews of completed medical reports to confirm accuracy, completeness, and compliance with client requirements
  • Communicate with physicians and clients to clarify report content, resolve issues, and provide case updates
  • Format and finalize reports while ensuring adherence to QA standards and documentation protocols
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