Disability Claims QA - Long Term Disability Specialist

June 11

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Dane Street

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National Provider of IME and Medical Peer Review Services

IMEs • Physician Advisor Reviews • Peer Reviews • Drug Utilization Reviews

51 - 200

Description

• Review and ensure accuracy of reports accompanying medical records • Communicate with physician reviewers and their teams • Assess the quality of physician reports • Verify claims support physicians' determinations • Read and apply policy guidelines and healthcare terminology • Provide strong customer service • Manage and provide oversight for complex long-term disability cases • Serve as an additional level of QA for cases with quality issues • Participate in special projects based on business needs

Requirements

• 5+ years of claims experience • Long Term Disability experience • Business experience in a healthcare and/or insurance setting • 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 • Proficiency in navigating a variety of computer programs • Attention to detail

Benefits

• 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 • basic life insurance, short-term disability, and long-term disability coverage • generous paid time off policy • 401k plan with a company match • Apple equipment and a media stipend for remote workspace