Quality Assurance Coordinator — Medical Claims & Compliance

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AssessMed- Quality Assurance Coordinator-CAT

Location:

AssessMed Mississauga

5945 Airport Road, Suite 335, Mississauga, Ontario L4V 1R9

Status:

Full-time, In-person

About AssessMed:

AssessMed has been facilitating comprehensive, unbiased, objective, and evidence-based medical assessments and file reviews since 1991. AssessMed has a large network of experienced medical professionals that provide credible and defensible medical evaluations for all types of claims. Reports are developed using the best evidence and current medical best practices. Evaluations are often focused on the evaluee’s ability to return to work or perform daily living activities.

AssessMed is an IME service provider, not a rehabilitation or treatment provider. Evaluations will recommend treatment options, but—as an unbiased provider—we will not recommend specific facilities, clinics, or doctors.

Main Responsibilities:

• Review and evaluate medical assessment reports to ensure continuity, consistency, accuracy, spelling, grammar and compliance with current regulations.
• Conduct thorough quality assurance checks on medical documentation, including medical histories, diagnostic test results, and treatment plans.
• Identify discrepancies, errors, or inconsistencies in medical assessment reports and provide timely feedback to assessors for correction.
• Collaborate with assessors, to address quality issues and implement corrective actions.
• Provide support to assessors on quality assurance procedures and documentation requirements.
• Ensure reports are sent to the client on time.
• Ensure the timely follow-up and tracking of QA statuses and reports.
• Follow QA protocols for releasing and saving reports.
• Offer exceptional customer service when responding to client queries.
• Identify issues that will impact on service standards and rectify or escalate those issues.
• Other duties as assigned.
  
  
  

Qualifications

• A regulated health professional with at least 3 years' experience either as a Kinesiologist, Physiotherapist or Nurse OR prior experience in insurance or IME QA including an understanding of CAT.
• AMA Guides training or C-CAT certification is an asset
• 1-2 years work experience in medical clinic, hospital or insurance office
• Action-oriented, highly organized, results-oriented, independent problem solver with demonstrated clinical, medical legal assessment and/or adjudication experience
• Detailed familiarity with the current and prior auto insurance legislation, arbitration and associated legal decisions.
• Solid command of the English language and demonstrated excellent communication skills
• Has working knowledge of MS Word and Excel and the ability to learn and navigate new systems
• Must be able to assume responsibility for job duties and work independently as well as team-orientated.
• Exceptional organizational and time management skills.
  
  
  

Why choose AssessMed?

• Comprehensive and flexible health and dental choices with Flex benefits
• Lifemark Employee Assistance Program
• Shoppers Drug Mart Employee Discount (30%)
• Employee Stock Purchase Plan (25%)
• Paid vacation and Wellness days
• Annual continuing education allowance of $1500 (applicable towards credential or designation fee)
• Goodlife Fitness Corporate Discount Gym Membership
• Ongoing internal training and development with opportunities for mentorship
• A diverse and inclusive workplace with a track record of high employee engagement and teamwork
• Nationally recognized brand with a strong digital presence
  
  
  

Thank you for your interest in joining our team! We appreciate the time and effort you’ve taken to apply for this position. Our team will carefully review all applications and contact candidates who meet the qualifications for the next steps. We encourage you to keep an eye on our future job openings. We look forward to connecting with the right candidate soon!

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Wellness and Fitness Services

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