Quality Review Specialist

Job Summary

A company is looking for a Quality Review Specialist, Disability Claims.

Key Responsibilities

• Conduct thorough reviews of Paid Leave and Short Term Disability claims for compliance
• Collaborate with teams to identify process improvement opportunities and develop innovative solutions
• Assist in establishing a comprehensive quality program tailored to organizational needs

Required Qualifications

• 3+ years of experience in the insurance industry
• Professional experience with Group Insurance Short Term Disability and Paid/Unpaid Leaves claims management
• Prior experience with Group Insurance Claims Quality Review is beneficial
• Experience with FINEOS Claims software platform is a plus
• Ability to think creatively for Quality Program development and continuous improvement