Disability Claims QA Specialist

Job Summary

To support the quality assurance of disability claims, the full-time remote Disability Claims QA Specialist will review physician reports for accuracy, communicate with medical teams, and ensure compliance with client standards for long-term and short-term disability claims.

Key Responsibilities

• Assess the quality of physician reports to ensure compliance with client and jurisdictional standards for long-term disability claims
• Verify that claims align with physicians' determinations and apply policy guidelines to evaluate eligibility for long-term disability
• Provide oversight for complex cases requiring additional review and deliver timely, error-free quality assurance

Required Qualifications

• Preferred Associate's Degree or Bachelor's Degree
• Minimum of 5 years of claims experience, with a focus on disability claims
• Experience in a healthcare and/or insurance setting is preferred
• Self-motivated with a strong drive for performance excellence
• Proficiency in various computer programs, including Google Chrome and Google Docs