Disability RN Quality Assurance Specialist

Job Summary

To ensure the accuracy and completeness of medical reports for long-term disability claims, the full-time remote Disability RN Quality Assurance Specialist will assess physician reports, verify claims, and provide oversight for complex cases while maintaining strong client communication.

Key responsibilities

• Assess the quality of physician reports to ensure compliance with client and jurisdictional standards
• Verify that claims support physicians' determinations in long-term disability cases
• Provide quality assurance for long-term disability cases, managing complex reviews as needed

Required qualifications

• Registered Nurse (RN) license required
• Associate's Degree or Bachelor's Degree preferred
• 5+ years of claims experience, with a focus on disability
• Experience in a healthcare and/or insurance setting preferred
• Proficiency in navigating various computer programs, including Google Suite