Disability Claims QA

March 13

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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 reports accompanying medical records for completeness • Communicate with physician reviewers and office teams to ensure clarity of information • Evaluate the quality of physician reports • Ensure claims support physician determinations • Provide strong customer service and quality assurance for cases • Provide oversight for complex cases • Serve as an additional level of QA and clinical claims knowledge/review • Additional duties and special projects as assigned

Requirements

• Associate’s Degree or Bachelor’s Degree preferred • RN preferred • 5+ years of claims experience preferred • Long Term Disability experience required • Business experience in healthcare and/or insurance setting preferred • Sense of urgency and ability to meet deadlines • Self-motivated with a drive for performance excellence • Excellent written and verbal communication skills required • Proficiency in navigating computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus) • Attention to detail required • Exceptional communication skills with a clear understanding of company business lines • Ability to apply critical thinking • Time management skills • Computer literacy and typing skills essential

Benefits

• Competitive compensation • Strong growth potential • Generous Paid Time Off • Excellent benefits package • Apple equipment and media stipend for remote work space • Strong training program