LTD and RN Claims Specialist

Job Summary

A company is looking for an LTD and RN Claims Specialist to work remotely in the United States on a full-time basis.

Key Responsibilities:

• Evaluate the quality of physician's reports and ensure they meet client and jurisdictional standards
• Review medical records and communicate with physician reviewers to address any questions or clarifications
• Provide clinical oversight and additional review for complex cases with quality issues

Required Qualifications:

• Graduate of an accredited RN program
• Experience in disability and medical office/healthcare background
• Experience working in a remote environment is preferred