Disability Claims QA
Dane Street
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $22 - $30 per hour
Job Level
Mid-LevelSenior
About the role
- Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims.
- Verify that the claims support the physician's determinations in long-term disability claims.
- Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met.
- Provide strong customer service by working closely with clients on a case-by-case basis to deliver complete, timely, and error-free quality assurance for long-term disability cases.
- 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.
Requirements
- An Associate’s Degree or Bachelor’s Degree is preferred.
- 5+ years of claims experience, preferred.
- 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.
- Present exceptional communication skills with a clear understanding of company business lines.
- The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
- Computer literacy and typing skills are essential.
Benefits
- medical, dental, and vision coverage for you and your family
- voluntary life insurance options for you, your spouse, and your children
- voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- basic life insurance, short-term disability, and long-term disability coverage at no cost
- generous paid time off policy
- 401k plan with a company match
- Apple equipment and a media stipend for remote workspace
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims experiencedisability experiencequality assurancehealthcare terminologypolicy guidelinescritical thinkingattention to detailcomputer literacytyping skills
Soft skills
customer serviceself-motivatedperformance excellencewritten communicationverbal communicationtime managementurgencyorganizational skills
Certifications
Associate’s DegreeBachelor’s Degree