Clinical RN Quality Assurance Specialist

June 21, 2024

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Logo of Dane Street

Dane Street

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

Description

•Assess quality of physician reports for long-term disability claims •Verify claims support physician determinations •Read and apply policy guidelines and healthcare terminology •Provide strong customer service by delivering timely quality assurance •Manage complex long-term disability cases •Serve as additional level of QA for cases with quality issues •Participate in duties and special projects as assigned

Requirements

•RN required •5+ years of claims experience •Long Term Disability experience •Business experience in healthcare and/or insurance setting preferred •Strong drive for performance excellence •Proficiency in navigating a variety of computer programs •Attention to detail required

Benefits

•Medical, dental, and vision coverage •Voluntary life insurance options •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 media stipend provided for remote workspace

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