About this role
Role Overview
- Conduct thorough reviews of peer review reports and related documentation.
- Ensure accuracy, compliance, and adherence to regulatory and client standards.
- Provide insight and direction to management on consultant quality and compliance.
- Identify inconsistencies within reports and contact Peer Reviewer for clarification.
Requirements
- High school diploma or equivalent required.
- Minimum of two (2) years of clinical or related experience preferred.
- Knowledge of the insurance industry, including claims management (workers’ compensation, no-fault, liability, or disability), preferred.
- Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
- Must have a full understanding of HIPAA regulations and compliance.
- Must be a qualified typist with a minimum of 40 W.P.M.
Benefits
- Health insurance
- 401(k)
- Paid time off
- Professional development opportunities