Maximus is hiring a Senior Coordinator – Appeals to support our Independent Medical Review (IMR) program. In this role, you will help manage the Worker’s Compensation appeals process, ensuring timely and accurate reviews.
Essential Duties and Responsibilities:
- Assist leadership through research of data and/or authoring reports
- Analyze data using all applicable law regulations (state and/or government process documents, and other sources as defined by the client contract
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtain advice where precedents are unclear or not available from the client
- Respond to the needs of outside contacts, including but not limited to: Client, injured workers, injured workers representatives, claims administrators, providers, etc.
- Answer and respond to phone calls/emails within defined timeframes
- Identify the need for process changes and documentation updates and/or development
- Create, maintain, and update documentation when appropriate in accordance with document control process
- Subject matter expert (SME) in preliminary review and document review.
- Assist leadership with training of new hire personnel
Minimum Requirements:
- High school diploma or GED required and 4 years of relevant professional experience required, or equivalent combination of education and experience
Preferred Skills and Qualifications:
- Proficient with preliminary and document review for California Independent Medical Review (IMR)
- Proficiency in Microsoft Office suite
Home Office Requirements:
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds