Disability Clinical RN Quality Assurance Specialist

United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Registered Nurse (RN) license and a minimum of 5 years of claims experience, with specific experience in disability claims being required. A Bachelor's or Associate's degree is preferred, as is business experience in a healthcare or insurance setting. Essential skills include excellent written and verbal communication, strong attention to detail, critical thinking, efficient time management, and computer proficiency, particularly with Google Suite applications. Candidates must also demonstrate a sense of urgency, self-motivation, and the ability to meet deadlines while working remotely with a reliable internet connection.

Responsibilities

The Clinical (RN) QA Specialist will review and assess the quality and accuracy of physician reports for long-term disability claims, ensuring compliance with client and jurisdictional standards. Responsibilities include verifying that claims support physician determinations, interpreting policy guidelines and healthcare terminology, and communicating with physician reviewers to clarify information and meet deadlines. The specialist will also provide customer service by delivering complete and error-free quality assurance on cases, manage complex cases requiring additional review, and serve as an additional QA level for cases with quality issues. Participation in special projects as assigned is also expected.

Skills

Long-term disability claims

Quality assurance

Medical records review

Physician communication

Policy guideline application

Healthcare terminology

Customer service

Case management

Clinical claims knowledge

Urgency

Deadline management

Self-motivation

Performance excellence

Written communication

Verbal communication

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Flexible Work Hours

Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.

Subscription program may not resonate with all customer segments, risking dissatisfaction.

Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.

Small, cost-effective locations reduce overhead and allow competitive pricing.

Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.

Subscription model provides steady revenue and enhances customer loyalty.

Partnerships with lifestyle brands boost brand visibility and customer engagement.

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