Dane Street
National Provider of IME and Medical Peer Review Services
Disability Claims QA
Location
United States
Posted
95 days ago
Salary
$22 - $30 / hour
Associate Degree5 yrs expEnglish
Job Description
• Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims.
• Verify that the claims support the physician's determinations in long-term disability claims.
• Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met.
• Provide strong customer service by working closely with clients on a case-by-case basis to deliver complete, timely, and error-free quality assurance for long-term disability cases.
• Manage and provide oversight for complex long-term disability cases requiring additional review prior to returning to the client.
• Serve as an additional level of QA for cases with quality issues, utilizing clinical claims knowledge specific to long-term disability.
• Participate in other duties and special projects, as assigned, based on business needs.
Job Requirements
- An Associate’s Degree or Bachelor’s Degree is preferred.
- 5+ years of claims experience, preferred.
- Disability experience required.
- Business experience in a healthcare and/or insurance setting is preferred.
- Must work with a sense of urgency and meet deadlines.
- Must be self-motivated, with a strong drive for performance excellence.
- Excellent written and verbal communication skills are required.
- Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus).
- Attention to detail REQUIRED.
- Present exceptional communication skills with a clear understanding of company business lines.
- The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
- Computer literacy and typing skills are essential.
Benefits
- medical, dental, and vision coverage for you and your family
- voluntary life insurance options for you, your spouse, and your children
- voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- basic life insurance, short-term disability, and long-term disability coverage at no cost
- generous paid time off policy
- 401k plan with a company match
- Apple equipment and a media stipend for remote workspace
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