IME Coordinator Job Listing at NJM Insurance Group in Hammonton, NJ (Job ID R2007508)

Description

New Jersey Manufacturers Insurance Company (NJM) was founded in 1913 by a group of manufacturers seeking to provide cost-effective, safety conscious and financially secure workers' compensation insurance for their workers. From inception the Company has operated as a mutual, with a focus on the needs of its policyholders.

Today, NJM Insurance Group, is a leading mid-sized U.S. property and casualty insurance company with 90 consecutive years of A+ financial strength ratings by AM BEST. Due to exceptional employee experience, NJM has been included on the latest Forbes List of Best Employers in New Jersey for the fourth year in a row. The NJM reputation for being a top provider of outstanding customer service was reaffirmed by the most recent J.D. Power Auto Insurance Claims Survey.

NJM's Medical Services - Personal Injury Protection team is seeking an IME Coordinator. The IME Coordinator is responsible for scheduling and communicating examination details to the involved parties, preparing medical packets for the IME physician, scheduling ancillary services when necessary, and following up to verify exam attendance and obtain determination.

The position requires the IME Coordinator to work and communicate with PIP Adjusters, as well as other team members. The IME Coordinator will also interact with NJM policyholders, associated injured parties or their legal representatives, medical providers, IME Physicians/Vendors, and other departments within NJM, as needed.

Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job.

• Evaluate new assignments to ensure the request identifies the appropriate specialty, location and is cost effective.
• Initiate contact with the physician's office, or outside vendor, to schedule and coordinate examinations.
• Communicate with the PIP Adjuster regarding appointment scheduling, appointment changes, no shows, cancellations, and receipt of medical records and/or imaging.
• Communicate examination details to the claimant and/or claimant's counsel, as well as any scheduling changes. Issue timely and accurate correspondence. Document all contact and activity regarding the file.
• Coordinate ancillary services necessary to guarantee attendance at the examination and ensure timely communication with vendors to cancel or reschedule as needed.
• Prepare medical packets for the IME Physician. Organize records in an orderly fashion; eliminate unnecessary documentation and forward packets to the provider prior to the examination.
• Follow up with the IME provider/Vendor to confirm attendance and secure outcome within regulatory timeframes.
• Receive pre-payment requests and forward for processing.
• Handle and respond to incoming communication from providers or claimants concerning the examination. Appropriately escalate calls to the PIP Adjuster as needed.
• Conduct an ongoing evaluation of the performance of IME providers, including cost, quality of reports, adherence to time constraints and any customer complaints regarding the process.
• Participate in educational or training activities as required.
• Perform other duties as requested.

Required Qualifications: Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.

• High School diploma or GED is required.
• Ability to work independently, prioritize work activities and use time efficiently.
• Ability to maintain confidentiality. Demonstrate and promote a positive team-oriented environment.
• Ability to manage change, delays, or unexpected events appropriately.
• Strong computer, typing and multi-tasking skills. Strong communication skills.
• Demonstrate accuracy and thoroughness.
• Forward thinking, evaluates and promotes process improvements.
• Demonstrate reliability and conform to the company's attendance policy.

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining, and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

NJM reserves the right at any time to amend, add or delete any aspect of the job description for this position based on business needs.

Compensation: Salary is commensurate with experience and credentials.

Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.