New York Liability IME Specialist

JOB SUMMARY

The company the company is seeking an experienced New York Liability IME Specialist to support our growing Liability division. This role serves as the medical-legal subject matter expert throughout the Independent Medical Examination (IME) process, ensuring that the appropriate physician is selected, medical records are thoroughly analyzed, and IME reports are accurate, well-supported, and defensible.

Ideal candidates include insurance defense paralegals, New York bodily injury/liability claims adjusters, IME coordinators or specialists, and other litigation professionals with substantial New York auto liability experience.

This is not an entry-level operations role. The position requires extensive knowledge of New York automobile liability claims, bodily injury litigation, personal injury matters, medical terminology, and Independent Medical Examinations. The successful candidate will exercise sound judgment, critical thinking, and strong analytical skills to evaluate complex medical-legal documentation and support high-quality client deliverables.

The company the company’s success relies on individual and team contributions every day. We care for our customers, each other, and the company the company. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

MAJOR DUTIES & RESPONSIBILITIES

Medical-Legal Case Analysis

• Review referrals to determine the appropriate medical specialty and expert(s) based on the allegations, claimed injuries, treatment history, and litigation strategy.

• Analyze Bills of Particulars, medical records, diagnostic studies, operative reports, deposition testimony, and attorney correspondence.

• Interpret complex medical terminology and treatment records to understand the nature and progression of injuries.

• Identify missing documentation, inconsistencies, or additional information needed prior to physician review.

• Physician Selection & Case Strategy

• Match cases with the most appropriate New York liability medical expert based on specialty, expertise, venue, injury type, and case complexity.

• Maintain working knowledge of New York IME physicians across multiple specialties.

• Assist in identifying physician recruiting needs based on client demand and market gaps.

IME Report Review & Quality Assurance

Review IME reports to ensure all client questions have been fully addressed.

Evaluate reports for medical accuracy, consistency, completeness, and defensibility.

Identify inconsistencies between

• Bills of Particulars

• Medical records

• Diagnostic imaging

• Physician examination findings

• Disability assessments

• Prior and current treatment

Recognize unsupported medical opinions or insufficient rationale requiring clarification.

Coordinate report revisions directly with physicians when necessary.

Client & Physician Collaboration

• Serve as a medical-legal resource for internal teams and clients.

• Communicate professionally with physicians, physician offices, claims professionals, attorneys, and internal stakeholders.

• Assist with complex referrals and resolve case-specific issues.

• Collaborate with Scheduling, Operations, QA, Credentialing, and Sales to ensure timely case completion.

• Additional Responsibilities

• Stay current on New York liability trends, medical specialties, and IME best practices.

• Support process improvement initiatives and special projects.

• Perform other duties as assigned.

Required Qualifications

Experience

• Minimum of 5 years of experience in one or more of the following:

• New York automobile liability claims

• Bodily injury claims

• Personal injury litigation

• Insurance defense litigation

• Independent Medical Examination (IME) operations

• Insurance defense paralegal work

Required Knowledge

Candidates should demonstrate strong working knowledge of

• New York automobile liability claims

• Bodily injury and personal injury litigation

• Independent Medical Examinations (IMEs)

• Bills of Particulars

• Medical terminology

• Medical records interpretation

• Diagnostic studies and treatment records

• New York liability physician specialties and defense experts

• Skills & Competencies

• Exceptional analytical and critical thinking abilities.

• Ability to identify inconsistencies between medical records, litigation documents, and physician reports.

• Strong understanding of medical rationale and report quality.

• Excellent written and verbal communication skills.

• Outstanding organizational and time management skills.

• Ability to manage multiple complex cases while meeting deadlines.

• High attention to detail and professional judgment.

• Proficiency with Microsoft Office and case management systems.

Preferred Qualifications

• New York Bodily Injury Claims Adjuster experience.

• Insurance Defense Paralegal experience.

• IME Coordinator or IME Quality Assurance experience.

• Experience working directly with defense counsel.

• Bachelor’s degree or equivalent professional experience.

Why Join the company the company?

The company the company is a national leader in Independent Medical Examination and medical review services. As a New York Liability IME Specialist, you will play a critical role in supporting insurance carriers, third-party administrators, and defense counsel by ensuring every case is matched with the appropriate expert and every medical opinion is supported by sound clinical rationale.

This is a unique opportunity for an experienced medical-legal professional to apply their New York liability expertise in a collaborative, fast-paced environment while helping deliver high-quality, defensible IME services.

Benefits

Join our team at the company the company and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT the company the company

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.