Disability Claims QA Specialist
virtual vocationsNew York, NY
Disability Claims QA Specialist
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksSoftware Quality Assurance Analysts and Testers
All Other Insurance Related ActivitiesServices for the Elderly and Persons with DisabilitiesClaims Adjusting
To support the quality assurance of disability claims, the full-time remote Disability Claims QA Specialist will review physician reports for accuracy, communicate with medical teams, and ensure compliance with client standards for long-term and short-term disability claims.
Key Responsibilities:
Assess the quality of physician reports to ensure compliance with client and jurisdictional standards for long-term disability claims
Verify that claims align with physicians' determinations and apply policy guidelines to evaluate eligibility for long-term disability
Provide oversight for complex cases requiring additional review and deliver timely, error-free quality assuranceRequired QualificationsPreferred Associate's Degree or Bachelor's Degree
Minimum of 5 years of claims experience, with a focus on disability claims
Experience in a healthcare and/or insurance setting is preferred
Self-motivated with a strong drive for performance excellence
Proficiency in various computer programs, including Google Chrome and Google Docs
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Level
Senior L5
Location
New York, NY
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
All Other Insurance Related Activities
Posted
3 days ago