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Disability Reviewer Jobs in Indiana (NOW HIRING)

i3logix

Medical Review Specialist

Indianapolis, IN

$19/hr

Medical Review Specialist (MRS) About i3screen: i3screen is a privately held subsidiary of i3logix ... Reasonable accommodations may be made to enable qualified individuals with disabilities to perform ...

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Disability Reviewer information

What does a disability reviewer do?

A Disability Reviewer is responsible for evaluating medical and vocational evidence to determine whether individuals meet the eligibility requirements for disability benefits, such as those offered by Social Security. They review applications, medical records, and other supporting documents, and may consult with medical professionals to make informed decisions. Their work ensures that only qualified applicants receive benefits, while helping prevent fraud and improper payments. Disability Reviewers must stay updated on laws, regulations, and guidelines related to disability programs.

What are the key skills and qualifications needed to thrive as a disability reviewer?

To thrive as a Disability Reviewer, you need a background in healthcare or social services, strong analytical abilities, and knowledge of disability regulations, often supported by a relevant degree or certification. Familiarity with case management systems, medical records software, and federal or state disability guidelines is typically required. Excellent attention to detail, objectivity, and clear written communication are vital soft skills for making accurate and fair determinations. These skills ensure that disability claims are evaluated thoroughly, fairly, and in compliance with legal and medical standards.

What are some common challenges faced by disability reviewers, and how can they be addressed?

Disability Reviewers often encounter challenges such as managing a high caseload, interpreting complex medical documentation, and ensuring compliance with regulatory guidelines. Staying organized and developing strong analytical skills are essential to efficiently process cases and make accurate determinations. Effective communication with medical professionals and applicants also helps clarify ambiguities and ensures fair, thorough evaluations. Many Disability Reviewers find that ongoing professional development and collaboration with experienced team members greatly enhance their ability to navigate these challenges.

What is the difference between Disability Reviewer vs Disability Claims Specialist?

AspectDisability ReviewerDisability Claims Specialist
Required CredentialsTypically requires a background in healthcare, social work, or related fields; certifications varyOften requires similar credentials, including healthcare or social work background; certifications may be preferred
Work EnvironmentPrimarily office-based, reviewing case files and medical documentationOffice setting, handling claims processing and customer interactions
Employer & Industry UsageUsed by government agencies, insurance companies, and third-party administratorsCommonly employed by insurance companies, government agencies, and private firms

Both roles involve evaluating disability claims, often requiring similar educational backgrounds and working in office environments. While Disability Reviewers focus on assessing medical documentation and making determinations, Disability Claims Specialists handle the entire claims process, including customer communication and documentation management. Understanding these differences can help job seekers identify the right career path within the disability assessment industry.

How to become a disability reviewer?

To become a disability reviewer, candidates typically need a background in healthcare, social work, or related fields, along with knowledge of disability policies and medical terminology. Relevant experience, such as working in healthcare or social services, and strong analytical skills are important. Some positions may require certification or training specific to disability assessment processes.

What qualifications do you need to work as a disability reviewer?

Disability reviewers typically need a bachelor's degree in healthcare, social work, or a related field, along with experience in medical or social assessments. Knowledge of disability policies and strong communication skills are also important, and some positions may require certification or training in disability evaluation procedures.

What are popular job titles related to Disability Reviewer jobs in Indiana?

For Disability Reviewer jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Disability Reviewer jobs in Indiana look for?

The top searched job categories for Disability Reviewer jobs in Indiana are:

What cities in Indiana are hiring for Disability Reviewer jobs?

Cities in Indiana with the most Disability Reviewer job openings:

Disability Reviewer jobs near you
Infographic showing various Disability Reviewer job openings in Indiana as of June 2026, with employment types broken down into 96% Full Time, 1% Part Time, and 3% Contract. Highlights an 65% Physical, 2% Hybrid, and 33% Remote job distribution.

Clinical Appeals & Grievances Nurse Reviewer

St. George Tanaq Corporation

Indianapolis, IN • On-site

Other

Posted 17 days ago

Job description

Clinical Appeals & Grievances Nurse Reviewer

Fully Remote•United States

Job Type

Full-time

Description

Overview

Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.

About the Role

We are seeking a Clinical Appeals & Grievances Nurse Reviewer (Dispute Resolution Reviewer III) to support our federal client. The ideal candidate is a licensed clinician who independently evaluates complex Medicare appeals and dispute cases, reviews clinical documentation, interprets federal regulations, and issues appeal determinations supported by medical evidence and policy.

They will also provide independent second-level determinations and dispute resolutions based on documentation, facts, laws, regulations, and applicable guidelines. This role works under general supervision with moderate latitude for initiative and independent judgment.

This is a remote position. Candidates must be based in the United States and able to work Eastern, Central, or Mountain Time Zone business hours with availability to work on a rotating schedule on weekends and holidays.

Required: Active, unrestricted license in good standing as an RN. Licenses with restrictions or encumbrances are not eligible.

Responsibilities

  • Review the medical records/case file, write a reconsideration/dispute resolution decision that is clear, concise, and impartial, supports the determination made, and documents the review.

  • Make fair, impartial, and independent decisions based on current medical evidence, statutes, regulations, rulings, policies, and procedures.

  • Respond to and ensure that all appeal/dispute issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.

  • Conduct research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to make an accurate, well-supported decision.

  • Stay abreast of changes in regulations, medical and healthcare practices, policies, and procedures.

  • Participate in case-specific verbal discussions.

  • Conduct reviews of appeals/disputes involving multiple beneficiaries/services in a single case.

  • Plan responses to statistical analysis challenges with assistance from statisticians.

  • Attend meetings and participate in workgroups at management's direction.

  • Serve as a subject matter expert.

  • Mentors and/or trains staff.

  • Conduct quality reviews and audits, as needed.

  • Participate in special projects and perform other duties as assigned.

Requirements

Required Experience and Skills

  • Must have 3 years of experience in medical dispute resolution, Medicare appeals, medical review, clinical review, or a related healthcare setting.

  • Must have an active Nurse license with no restrictions and in good standing.

  • Demonstrated experience writing or making appeal or payment determinations

  • Experience using Microsoft 365, including Excel and Word.

  • Must be able to pass Federal and state criminal background checks, as required by client.

  • Must be able to pass education, certification and license verification, as well as other professional background checks, as required by client.

  • Must be able to pass drug screen, as required by client.

  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Preferred Qualifications

  • Experience with medical necessity determinations, payments, and billing/claims experience.

  • Experience working with or supporting a federal public health agency environment.

  • Patient-Provider Dispute Resolution or Independent Dispute Resolution experience.

  • Coding certification.

Education and Training

  • Must be an actively licensed healthcare professional with Nursing, Physical Therapy, Respiratory Therapy, Occupational Therapy, or closely related clinical experience.

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.

Who We Are

Tanaq Support Services (TSS) is a public health contractor and certified 8(a) business owned by St. George Tanaq Corporation, an Alaska Native Corporation (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to develop effective solutions.

Our commitment to non-discrimination

Tanaq Support Services is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-Free Workplace Act of 1988 and participates in E-Verify.

If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.

Notice on candidate AI usage

Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills, and education. To protect the integrity of the interview process, candidates may not use artificial intelligence (AI) tools to generate or assist with responses during phone, in-person, or virtual interviews. Candidates who require a reasonable accommodation that may involve AI must contact us before their interview at accommodation@tanaq.com.

To view this and all our job postings, visit us at:

https://recruiting.paylocity.com/recruiting/jobs/All/a4712c9f-f074-40e8-9a14-bee06660bd81/Tanaq-Support-Services-LLC

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