Remote Disability Claims QA
Dane Street
💵 $45k-$62k
📍Remote - United States
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Job highlights
Summary
Join Dane Street's team as a Disability Claims QA and enjoy an exciting work environment, competitive compensation, and strong growth potential.
Requirements
- An Associate’s Degree or Bachelor’s Degree is preferred
- RN preferred
- 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
- Evaluates the quality of the physician's report and determines if the report will meet all client and jurisdictional standards
- Ensures that the claims support the physician’s determinations
- Read & apply policy guidelines, healthcare terminology and delineate when criteria is/is not met
- Provides strong customer service skills and works closely with clients on a case-by-case basis to provide complete, timely and error free quality assurance of cases
- Provides oversight to cases that are complex and need additional review prior to return to the client
- Serves as an additional level of QA and clinical claims knowledge/review for cases with quality Issues
Benefits
- Health insurance
- Retirement plans
- Performance bonuses
- Medical, dental, and vision coverage for you and your family
- Voluntary life insurance options for you, your spouse, and your children
- Hospital indemnity, critical illness, accident indemnity, and pet insurance plans (optional)
- Basic life insurance, short-term disability, and long-term disability coverage at no cost
- Paid time off policy
- 401k plan with a company match
- Apple equipment and a media stipend for remote workspace
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