Disability Claims Reviewer

1 week ago


Antioch, Tennessee, United States Dane Street, LLC Full time
The Clinical Quality Analyst is a key member of our team, responsible for ensuring the quality and integrity of our clinical content. This role requires a strong medical background and relevant clinical experience, as well as excellent analytical and problem-solving skills. You will be responsible for performing independent analysis of a claimant's medical records for clients when requested, serving as an additional level of QA for cases with quality issues, and managing referrals assigned to a reviewer within the designated division. Additionally, you will communicate with customers, reviewers, and management to ensure timely delivery of completed reports by the customer's requested due date.

Responsibilities
• Perform independent analysis of a claimant's medical records for clients when requested
• Serve as an additional level of QA for cases with quality issues
• Manage referrals assigned to a reviewer within the designated division
• Communicate with customers, reviewers, and management to ensure timely delivery of completed reports by the customer's requested due date

Requirements
• An Associate's Degree or Bachelor's Degree is preferred
• Business experience in a healthcare and/or insurance setting is preferred
• Active Registered Nurse
• Disability experience is required
• Strong attention to detail and accuracy in reviewing clinical content
• Excellent verbal and written communication skills
• Ability to work collaboratively in a team-oriented environment
• Strong organizational and time management skills

Benefits
Dane Street offers a comprehensive benefits package designed to support your well-being and peace of mind. This includes medical, dental, and vision coverage for you and your family, voluntary life insurance options, and other benefits such as short-term disability and long-term disability coverage.

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