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Disability Reviewer Jobs in Seattle, WA (NOW HIRING)

City of Bothell

Development Review Supervisor

Bothell, WA · On-site +1

$143K - $182K/yr

The City of Bothell is looking for a Development Review Supervisor to lead a talented team, guide ... We also offer life and disability insurance, state pension membership and deferred compensation for ...

Boeing

Product Review Engineer

Tukwila, WA

$90K - $123K/yr

Product Review Engineer Company: The Boeing Company Boeing Defense, Space & Security (BDS) Mobility ... life and disability insurance programs, and a number of programs that provide for both paid and ...

Boeing

Product Review Engineer

Tukwila, WA

$90K - $123K/yr

Product Review Engineer Company: The Boeing Company Boeing Defense, Space & Security (BDS) Mobility ... life and disability insurance programs, and a number of programs that provide for both paid and ...

Boeing

Product Review Engineer

Tukwila, WA · On-site

$90K - $123K/yr

Product Review Engineer Company: The Boeing Company Boeing Defense, Space & Security (BDS) Mobility ... life and disability insurance programs, and a number of programs that provide for both paid and ...

Amazon

Principal PMT, Seller Reviews

Seattle, WA · On-site

You will define the product strategy for next-generation review experiences that integrate AI ... If you have a disability and need a workplace accommodation or adjustment during the application ...

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All JobsDisability Reviewer JobsDisability Reviewer Jobs in Seattle, WA

Disability Reviewer information

See Seattle, WA salary details

$12

$34

$55

How much do disability reviewer jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for disability reviewer in Seattle, WA is $34.01, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $41.59 per hour, depending on experience, location, and employer.

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 Seattle, WA?

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

What job categories do people searching Disability Reviewer jobs in Seattle, WA look for?

The top searched job categories for Disability Reviewer jobs in Seattle, WA are:

What cities near Seattle, WA are hiring for Disability Reviewer jobs?

Cities near Seattle, WA with the most Disability Reviewer job openings:

Disability Reviewer jobs near you

Physician Clinical Reviewer -Psychiatry- REMOTE

Home, WA • Remote

Prime Therapeutics LLC
Insurance Services • 1 - 5K employees

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

16th of 113 rated pharmacies

People enjoy working here

Good employer

Paid breaks

Learn more about Prime Therapeutics LLCexternal

$90.87 - $154.33/hr

Part-time

Posted 25 days ago

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting TitlePhysician Clinical Reviewer -Psychiatry- REMOTEJob Description

The Physician Clinical Reviewer is a key member of the utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required.

Responsibilities

  • Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer
  • Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax
  • Provides clinical rationale for standard and expedited appeals
  • Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems
  • Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines
  • Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner
  • Participates in on-going inter-rater reliability training and testing
  • Assists the Medical Director and/or VP Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support
  • On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions
  • On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director
  • Other duties as assigned

Minimum Qualifications

  • Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO) or Bachelor of Medicine, Bachelor of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and successful completion of United States based fellowship for subspecialists) required
  • Current, unrestricted license to practice medicine in one or more states of the United States
  • Board Certified by one of the following: American Board of Medical Specialties (ABMS), American Board of Osteopathic Specialties (ABOS), American Board of Internal Medicine or American Board of Osteopathic Internal Medicine (ABIM/ABOIM)
  • 1 year of work experience in clinical review

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

  • Familiarity with the principles and procedures of utilization management as practiced in managed care organizations

Preferred Qualifications

  • Medicare Part D experience.
  • Experience with cost benefit analysis, quality assurance and the continuous quality improvement process

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

Social media

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