Disability Claims Quality Assurance

Job Summary

A company is looking for a Disability Claims QA specializing in Long Term Disability.

Key Responsibilities:

• Assess the quality of physician reports to ensure compliance with client and jurisdictional standards
• Verify claims support for physicians' determinations in long-term disability cases
• Provide customer service and oversight for complex long-term disability cases requiring additional review

Required Qualifications, Training, and Education:

• Preferred Associate's or Bachelor's Degree
• 5+ years of claims experience, with disability experience required
• Business experience in a healthcare and/or insurance setting is preferred
• Must work with a sense of urgency and be self-motivated
• Proficiency in navigating various computer programs