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Dane Street

National physician-based IME and peer reviews

Disability Claims QA Specialist

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • Disability experience is required.
  • Must work with a sense of urgency and meet deadlines.
  • Must be self-motivated and demonstrate a strong drive for performance excellence.
  • Excellent written and verbal communication skills are required.
  • Proficiency in navigating computer programs is required; experience with Google Chrome, Gmail, Docs, and Sheets is a plus.
  • Attention to detail is required.
  • Must understand company business lines and present exceptional communication skills.
  • Must be able to apply critical thinking, manage time efficiently, and meet specific deadlines.
  • Computer literacy and typing skills are essential.
  • Must supply and support their own internet service and maintain an uninterrupted internet connection for remote work.
  • Long periods of sitting and computer work are required.

Responsibilities

  • Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims.
  • Verify that the claims support physicians’ determinations in long-term disability claims.
  • Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met.
  • Work closely with clients on a case-by-case basis to deliver complete, timely, and error-free quality assurance for long-term disability cases.
  • Manage and provide oversight for complex long-term disability cases requiring additional review before returning them to the client.
  • Serve as an additional level of quality assurance for cases with quality issues, using clinical claims knowledge specific to long-term disability.
  • Participate in other duties and special projects as assigned based on business needs.

Desired Qualifications

  • An Associate’s degree or Bachelor’s degree is preferred.
  • Five or more years of claims experience is preferred.
  • Business experience in a healthcare and/or insurance setting is preferred.

About the Company

Dane Street

National physician-based IME and peer reviews

Dane Street provides independent medical exams (IMEs) and peer-review services on a nationwide scale. It works with a panel of board-certified physicians located in all 50 states to deliver evaluations across Workers Compensation, Pharmacy, Disability, Group Health, and Auto/Liability cases. The process involves a physician-based review and evaluation system that produces expert reports with faster turnaround times, higher report quality, and increased satisfaction and productivity among adjusters and nurses. The company differentiates itself with its large, nationwide network and its focus on timely, high-quality evaluations across multiple lines of business. Its goal is to improve the accuracy and efficiency of medical reviews to support better decision-making for insurers, employers, and patients.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Palm Beach Gardens, FL
Founded
2008

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