Disability Claims QA

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