Dane Street, LLC
Insurance
DisabilityClaimsQA
Neural analysis suggests this role is
optimal for Mid candidates.
“Disability Claims QA at Dane Street, LLC. Skills: Disability claims, Quality assurance, Report review. Assess quality of physician reports. Verify claims support determinations”
What You'll Achieve.
Meet client deadlines; Deliver complete, timely, and error-free quality assurance
Industry & Context.
Critical thinking
Long periods of sitting and computer work, Supply and support their own internet services, Maintaining an uninterrupted internet connection
What They're Looking For.
Must Have
Disability experience required, Attention to detail REQUIRED, Excellent written and verbal communication skills are required, Must work with a sense of urgency and meet deadlines, Must be self-motivated, with a drive for performance excellence
Nice to Have
An Associate’s Degree or Bachelor’s Degree is preferred, 5+ years of claims experience, preferred, Business experience in a healthcare and/or insurance setting is preferred, Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus
What You'll Do.
Assess quality of physician reports
Verify claims support determinations
Read and apply policy guidelines
Provide customer service to clients
Manage complex disability cases
Serve as additional level of QA
Participate in other duties
How You'll Work.
Team & Collaboration
Communicate with physician reviewers; Work closely with clients
Communication Scope
Excellent written and verbal communication skills; Exceptional communication skills
Full Job Description
**Overview:** Dane Street is seeking highly motivated candidates to join our team as a Disability Claims QA, specializing in Long Term Disability (LTD). We offer an exciting work environment, competitive compensation, and strong growth potential. **Summary:** As a Disability Claims QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. You will communicate with physician reviewers and their teams to ensure clarity of information, address all posed questions, and meet client deadlines. **Key Responsibilities:** * 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 issus, utilizing clinical claims knowledge specific to long-term disability. * Participate in other duties and special projects, as assigned, based on business needs. **Requirements** **EDUCATION/CREDENTIALS:** * An Associate’s Degree or Bachelor’s Degree is preferred. **JOB RELEVANT EXPERIENCE:** * 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 v
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