Remote Clinical Auditor

Summary

Join our team at Dane Street 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.

Requirements

• An Associate’s Degree or Bachelor’s Degree is preferred
• RN required
• 5+ years of claims experience, preferred
• Long Term 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

Responsibilities

• Conducts scheduled audits as well as ad hoc audits
• Provide summary and recommendations
• Implement corrective actions recommended by clients
• Identifies areas where issues exist and works with appropriate individuals to ensure resolution
• Provide aspects of training to employees in specific assigned departments
• 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

Benefits

• Health insurance
• Retirement benefits
• Paid time off
• Remote work, flexible hours
• Life and disability insurance
• Bonuses and incentives
• Professional development opportunities
• Wellness programs
• Family and parental leave