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IME/Claims Manager

Company: Medical Support Los Angeles
Location: Pasadena
Posted on: July 10, 2018

Job Description:

Job DescriptionSummary of Job Function and Purpose This position is responsible for the general operational oversight of the IME and QME department to ensure performance goals and contract expectations are met and/or exceeded. Essential Duties and Responsibilities:

  • Provide leadership and direct staff to ensure performance expectations and milestones are achieved;
  • Conduct regular self-audits of department results, processes and workflows. Analyze the information to improve outcomes and maximize productivity;
  • Develop and monitor goals for staff and the department, providing regular on-going feedback and coaching;
  • Identify opportunities and implement process improvements to optimize outcomes and mitigate costs;
  • Accountable for maintaining effective internal controls over the processes and transactions;
  • Adapts departmental plans and standard operating procedures to address business needs;
  • Influence and/or provides input into forecasting and planning activities;
  • Interacts with clients to strengthen/expand existing relationships and to ensure appropriate and timely resolution of service issues;
  • Sets team direction, resolves problems and provides guidance to the team members;
  • Responsible for managing doctor utilization to ensure they are meeting contractual expectations and timelines;
  • Lead and/or participate in workgroups and committees;
  • Perform other duties as assigned or required by operational need;
  • All other duties assigned by Management. Competencies
  • Demonstrated ability to lead and motivate others;
  • Demonstrated ability to work independently, and in conjunction with team members at all levels of the organization;
  • Ability to work in a high volume environment with emphasis on accuracy and timeliness.
  • Demonstrated ability to think strategically, and execute operationally and tactically;
  • Able to process mapping and evaluate metrics to continuously improve results;
  • Able to understand instructions furnished in written, oral, diagram, or schedule form;
  • Excellent verbal and written communication skills;
  • Solutions driven;
  • Organized.
  • Proficient in general computer use and Microsoft Office Suite. Education and/or Experience
    • Bachelor’s Degree or equivalent.
    • Minimum of 5 years of experience in managing employees.
    • Knowledge and understanding of claim processes and workflows. Apply on company website: www.mslaca.comMSLA is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status. MSLA is an equal opportunity employerMSLA is a drug free and smoke free workplaceMSLA utilizes E-VerifyCompany DescriptionMSLA is a private provider of Medical Evaluation Services. Since 1998, we have been providing medical evaluation services to federal, state, third party administrators and private insurance companies. MSLA has distinguished itself by delivering objective unbiased examination reports with a prompt turnaround. We have established a reputation of quality and excellence within this industry through exceptional customer service, as well as meeting or exceeding client expectations.MSLA's Core Values are at the heart of our business and are subsequently extremely important to understand and operate by. These values include: Integrity: Do the right thing. Our clients, patients, and providers all expect this of MSLA and we deliver on this promise in every facet of our business.Honesty: MSLA is devoted to honest and fair business practices. We work vigorously with all of our partners to ensure that we manage ourselves in a way that cannot be viewed as anything else but 100% ethical.Action:We at MSLA encourage all of our staff members, clients, and providers to move MSLA forward. Whether it is customer service, technology or new business ventures, we want to work together in improving our service delivery. This takes a total team effort and MSLA is committed to just that.Teamwork:We are all dependent upon each other to succeed in life, so we need to do our best to treat others with respect while reaching toward a common goal. No matter what your interaction is with MSLA, you are considered a part of the MSLA Team!Apply on company website: MSLAca.com/employmentMSLA is a VEVRAA Federal contractor and an Equal Opportunity Employer. MSLA has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. MSLA recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.MSLA IS AN EQUAL OPPORTUNITY EMPLOYERMSLA IS A DRUG FREE AND SMOKE FREE WORKPLACEMSLA UTILIZES E-VERIFY

      Keywords: Medical Support Los Angeles, Pasadena, IME/Claims Manager, Executive, Pasadena, California

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