Dane Street ยท 4 months ago
Disability Clinical RN Quality Assurance Specialist
United States
Full-time
Remote
Mid, Senior Level
$65K/yr - $90K/yr
5+ years expDane Street is a fast-paced, Inc. 500 Company that processes over 200,000 insurance claims annually. They are seeking a Clinical (RN) QA Specialist specializing in Disability to ensure the accuracy and completeness of reports for long-term disability claims while communicating with physician reviewers and clients.
Auto InsuranceCommercial InsuranceEmployee BenefitsFinancial ServicesHealth InsuranceInsurance
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 the physicians determinations in long-term disability claims
Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met
Provide strong customer service by working 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 prior to returning to the client
Serve as an additional level of QA for cases with quality issues, utilizing clinical claims knowledge specific to long-term disability
Participate in other duties and special projects, as assigned, based on business needs
Qualification
Required
RN required
Disability experience required
Excellent written and verbal communication skills are required
Attention to detail REQUIRED
Must work with a sense of urgency and meet deadlines
Must be self-motivated, with a strong drive for performance excellence
Computer literacy and typing skills are essential
Preferred
An Associate's Degree or Bachelor's Degree is preferred
5+ years of claims experience, preferred
Business experience in a healthcare and/or insurance setting is preferred
Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus)
Benefits
Health insurance
Retirement plans
Performance bonuses
Medical, dental, and vision coverage for you and your family
Voluntary life insurance options for you, your spouse, and your children
Hospital indemnity
Critical illness
Accident indemnity
Pet insurance plans
Basic life insurance
Short-term disability
Long-term disability coverage at no cost
Paid time off policy
401k plan with a company match
Apple equipment and a media stipend
Company
Dane Street
Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Josh Remillard
Chief Operating Officer
Greg Powers
Chief Marketing Officer/SVP Sales
Recent News
EIN Presswire
2025-07-23
2025-05-23
Company data provided by crunchbase