Dane Street · 3 months ago
Physician Reviewer - Internal Medicine
Chicago, IL
Contract
Onsite
Senior LevelDane Street is a certified 'Great Place to Work' company, seeking Board Certified Internal Medicine physicians for Independent Medical Exams and Peer Reviews. The role involves utilizing clinical expertise to review disability claims and ensure compliance with medical appropriateness and guidelines.
Auto InsuranceCommercial InsuranceEmployee BenefitsFinancial ServicesHealth InsuranceInsurance
Responsibilities
Reviews all medical records and addresses each question posed by the client utilizing state-mandated or other nationally recognized evidence-based criteria
Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
Returns cases on or before the due date and time
Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
Attends all required orientation and training
Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
Provides copies of any criteria utilized in a review with the report in a timely manner
Conducts Independent Medical Exams in a clean, safe, professional manner and setting
Qualification
Required
Board Certified in Internal Medicine
Utilizes clinical expertise to review disability claims
Provides interpretation of the medical appropriateness of services
Maintains proper credentialing and state licenses
Attends all required orientation and training
Conducts Independent Medical Exams in a clean, safe, professional manner and setting
Company
Dane Street
Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.
Founded in 2008
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Josh Remillard
Chief Operating Officer
Greg Powers
Chief Marketing Officer/SVP Sales
Recent News
EIN Presswire
2025-07-23
2025-05-23
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