Nurse Reviewer Team Lead

At Epiq, your work contributes to complex, global legal outcomes. You’ll join a values‑driven community where integrity guides decisions, relentless service sets the bar, and we thrive on big challenges together. We invest in your growth with enterprise‑wide learning and mobility. We celebrate who you are, and we respect life beyond work with flexibility that’s recognized externally. Enabled by modern platforms and AI, you’ll do the most meaningful work of your career and see your impact at scale.

Job Description:

Job Description

Job Title:                  Nurse Reviewer – Team Lead

Location:                  Ontario/Quebec Canada

Reports To:             Project Manager

Position Summary

This position supports Project Managers in project execution in the Client Services department and ensures consistently superior client service standards in all client interactions. The Nurse Reviewer – Team Lead is responsible for providing professional‑level claims and administrative support within our client‑facing project management team while also offering day‑to‑day operational and clinical workflow leadership to a group of Nurse Reviewers.

As a key member of the project team, this role supports consistency, quality, and adherence to established medical review procedures. The Team Lead plays an active role in clinical onboarding, training reinforcement, real‑time procedural guidance, and quality oversight, ensuring Nurse Reviewers are aligned with approved eligibility criteria, documentation standards, and escalation pathways.

Job Responsibilities

Core Nurse Reviewer Responsibilities

All responsibilities outlined in the Nurse Reviewer job description continue to apply, including but not limited to:

• Claims Assessment Execution – Meet project requirements by following written procedures to deliver all project deliverables on time and at the highest quality standards.
• Data Entry and Verifications – Use proprietary software tools to meet requirements relating to case application and claims submission deliverables within expectations for accuracy, productivity, and case‑specific standards.
• Internal Collaboration – Work closely with team leadership to meet project objectives and proactively communicate obstacles affecting work completion.
• Client Communication – Respond to client communications timely and accurately; understand client needs and feedback; collaborate and consult with clients and/or support Project Managers in doing so; follow up and communicate client needs internally while ensuring the obtention of information from claimants.
• Documentation & Reporting – Draft project client‑facing communications based on case requirements and review of legal and/or medical documentation and records. Participate in the development or updating of policies, procedures, website text, and business rules.
• Database Execution – Verify data and processing requirements, ensuring corrections are handled accurately and in a timely manner.

Additional Team Lead Responsibilities

Operational & Clinical Team Leadership

• Serve as a first level point of contact for Nurse Reviewers regarding workflow questions, task prioritization, and application of approved procedures and eligibility criteria.
• Lead and support clinical onboarding and training of Nurse Reviewers using approved training materials, SOPs, orientation checklists, and case specific guidance.
• Provide real time clinical guidance to Nurse Reviewers on documentation standards, procedural expectations, and application of written eligibility criteria based on day-to-day review activity.
• Act as an operational and clinical workflow liaison between Nurse Reviewers and Project Management for day-to-day questions and clinical issue triage.

Quality Oversight, Training Validation & Escalation

• Monitor work for consistency with established procedures, quality expectations, and documented precedents.
• Support resolution of routine and moderately complex claims questions that fall within established guidance.
• Identify claims or scenarios that fall outside established guidance, involve ambiguity, or present increased risk, and collaborate with the Project Manager to determine appropriate next steps.
• Participate in claim decision discussions with the Project Manager where interpretation beyond written guidance may be required, ensuring decisions are documented and aligned with program requirements.
• Support validation of Nurse Reviewer readiness following clinical onboarding and training, including review of initial work samples and confirmation that reviewers are prepared to perform independent review in alignment with approved guidance and escalation pathways.
• Escalate cases requiring additional clinical opinion or consistency review through defined pathways when further clinical interpretation or validation is needed.
• The scope and focus of Team Lead responsibilities may vary based on program design; however, the role consistently provides operational leadership, clinical guidance reinforcement, and decision support within established procedures and escalation pathways. Clinical governance support is available to provide secondary clinical opinion and consistency across cases as needed.

Job Qualifications and Requirements

• Current licensure as a Registered Nurse (RN) in Ontario or Quebec is required.
• 1–2 years of experience as a Registered Nurse, with experience in medical record review, claims processing, eligibility assessment, or administrative review environments considered an asset.
• Demonstrated experience in a team lead, senior reviewer, mentoring, or peer‑support capacity, including providing guidance, supporting onboarding or training, or reviewing work for consistency.
• Proven ability to support and reinforce clinical onboarding, training content, and day‑to‑day application of written eligibility criteria and documentation standards.
• Strong clinical judgment and ability to identify scenarios that fall outside established guidance and require discussion or escalation.
• Bilingualism, Canadian French and English fluency.
• Excellent verbal and written communication skills with a professional, calm demeanor, particularly when supporting peers and collaborating with Project Management.
• Strong critical thinking skills and attention to detail, with the ability to process information efficiently in a fast‑paced environment.
• Experience drafting written content for program‑related materials, guidance, or internal documentation.
• Strong organizational skills with the ability to prioritize tasks, manage competing demands, and support team‑level workflow coordination.
• Ability to collaborate effectively in a team environment and act as an operational and clinical point of reference for peers.
• Experience working with databases is preferred.
• Experience with Microsoft Office Suite (Word, Excel, Outlook).
• Bachelor’s degree or relevant industry experience preferred.

Work Environment

Work is fast paced with extensive contact with clients and colleagues.  The industry we serve demands the highest level of confidentiality and professionalism in safeguarding client and project information. Highly effective Nurse Reviewers thrive on being in an environment that rewards the following critical success factors:

• Adaptability: Appropriately reacting to changing situations without a loss of effectiveness and enthusiasm for strategic initiatives and corporate goals.
• Analysis: Identifying problems and causes or analyzing how processes and procedures could be improved, collecting relevant information, and identifying possible solutions.
• Attention to Detail: Appropriately completing all the individual tasks accurately or according to workflow/process guidelines with an emphasis on reaching or exceeding quality standards.
• Creativity: Being inventive, imaginative, and innovative.
• Development of Others: Providing the means for others to grow and develop personally and professionally within and across departments.
• Energy: Maintaining a fast, active pace in the normal course of the day.
• Flexibility: Going into situations without preconceived notions with a willingness to assess various options to determine a course of action.
• Integrity: Strict adherence to job-related standards, values, or norms.
• Learning Ability: Understanding and applying new information.
• Listening: Hearing and comprehending verbal messages and confirming back what you hear.
• Team Player: Functioning as an active member of a group while maintaining focus on your individual contributions and responsibilities.
• Verbal & Written Communication: Effective oral, written, and nonverbal expression without preparation.

Your specific salary will be determined based on several factors:

• Location-based market rate for the role

• Your abilities in relation to the job specification

• Performance during screening and interview

• Pay parity with the wider team in the considered location

Further details about the package will be provided during the initial screening call with the Talent Acquisition Team.

Click here to learn about Epiq's Benefits.

Epiq Leadership Compass

Fosters Relationships & Collaboration

Builds trust and alignment through open communication, shared goals, and strong partnerships to drive collective success.

• Build trust-based partnerships

• Nurture long-term relationships

• Remove collaboration barriers

• Celebrate cross-team success

Engages & Influences

Inspires action and alignment through clear communication, purposeful influence, and a compelling vision.

• Use storytelling to build buy-in

• Align communication with organizational goals

• Guild alignment through strong engagement

Maximizes Performance

Sets and reinforces performance standards that drive results, ensure accountability, and align with Epiq’s goals.

• Use data to identify improvement opportunities

• Make informed decisions

• Align team goals with boarder strategy

• Empower teams to manage their own goals

• Translate vision into clear priorities

• Prepare for disruptions with strong change management

Achieves Operational Success

Drives continuous improvement and operational excellence through smart processes, data insights, and quality execution.

• Improve workflows for team efficiency

• Use clear documentation and expectations

• Resolve issues quickly using data and feedback

It is Epiq’s policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual’s race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. Epiq’s policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. In addition Epiq will take affirmative action for minorities, women, covered veterans and individuals with disabilities. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. Epiq is pleased to provide such assistance and no applicant will be penalized as a result of such a request.  Pursuant to relevant law, where applicable, Epiq will consider for employment qualified applicants with arrest and conviction records.