Disability Clinical RN – Quality Assurance Specialist

Dane Street

Clinical (RN) QA Specialist overseeing quality assurance for long-term disability claims at Dane Street. Leverages clinical knowledge to enhance claim accuracy and completeness while providing customer service.

Posted 5/27/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $90,000 per yearWebsite

About the role

Key responsibilities & impact

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 physicians 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

What you’ll need

An Associate’s Degree or Bachelor’s Degree is preferred
RN required
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

Benefits

Comp & perks

medical, dental, and vision coverage for you and your family
voluntary life insurance options for you, your spouse, and your children
other voluntary benefits which include 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims experiencedisability experiencequality assurancehealthcare terminologypolicy guidelinesclinical claims knowledgeattention to detail

Soft Skills

customer servicesense of urgencyself-motivatedperformance excellencewritten communicationverbal communication

Certifications

RNAssociate’s DegreeBachelor’s Degree