Liability Specialist

Dane Street; United States; Remote; USD 50 000 - 70 000; Full time

Job summary

A leading company in the insurance sector is seeking a Liability Specialist to manage the medical file review and scheduling process. This role requires specialized knowledge of liability IME and independent management of operations. The ideal candidate will ensure compliance with client standards and maintain effective communication throughout the process.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401k Match

Company-Provided Equipment

Media Stipend

Qualifications

• Experience in healthcare and/or insurance settings preferred.
• Experience with technology-based processes in a business environment.

Responsibilities

• Intake new cases, review and verify information.
• Monitor, process, and track cases to meet deadlines.
• Review reports for completeness and accuracy.

Skills

Communication

Critical Thinking

Time Management

Computer Literacy

Education

Associate's Degree

Bachelor's Degree

Job description

Job Summary
The Liability Specialist is responsible for managing various aspects of the medical file review and scheduling process. They will review completed referrals to ensure client questions have been addressed appropriately and review reports for accuracy, ensuring compliance with client and department standards. This role requires specialized knowledge of liability IME and involves independent management of all operations related to the liability IME process.

At Dane Street, our success depends on individual and team contributions every day. We prioritize caring for our customers, colleagues, and the organization. Maintaining a positive work environment that fosters client satisfaction and results is a shared responsibility.

Major Duties & Responsibilities

1. Handling Receipt of New Cases: Intake new cases, review and verify information, draft cases in the Dane Street system (AccessDS), collaborate with clients on missing information, and organize medical documents as required.
2. Assignment of Cases: Assign and schedule cases to physicians based on location, availability, guidelines, jurisdiction, and client requirements, ensuring no conflicts of interest.
3. Oversight of Cases: Monitor, process, and track cases to meet deadlines.
4. Quality Audits: Review reports for completeness and accuracy, follow up with reviewers and clients for clarifications, update clients on progress, ensure reports are grammatically correct and adhere to QA checklists, and format reports for approval.
5. Communication: Maintain clear, concise communication with customers, reviewers, and operations team. Confidently discuss case content with physicians and clients, update on case status, and ensure proper documentation.
6. Perform other duties and special projects as assigned based on business needs.

Qualifications

• Associate's Degree or Bachelor's Degree preferred.
• Business experience in healthcare and/or insurance settings preferred.
• Experience with technology-based processes in a business environment.

Skills and Competencies

• Exceptional communication skills and understanding of company operations.
• Critical thinking, time management, and meeting deadlines.
• Computer literacy and typing skills.

Working Conditions

Includes lifting, bending, traveling, long periods of sitting and computer work. Must support own internet connection and maintain uninterrupted service for remote work.

Benefits

Comprehensive package including medical, dental, vision, voluntary life insurance, hospital indemnity, critical illness, accident, pet insurance, paid time off, 401k match, company-provided equipment, and media stipend.

About Dane Street

A fast-paced Inc. 500 company processing over 200,000 insurance claims annually for various healthcare and insurance clients. We offer customized IME and peer review programs to support claims management.