Legal Quality Analyst

🕒 Julho 15

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧑‍💼 Advogado

👻 Score fantasma 30%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Dane Street

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🏥 Saúde

💼 Consultoria

⚖️ Jurídico

Healthcare • Consulting • Legal

A Dane Street é líder nacional em Exames e Revisões Médicas Independentes, fornecendo Exames Médicos Independentes (IMEs), Revisões por Pares e outros laudos médicos de forma objetiva, em conformidade e dentro dos prazos. Com uma ampla rede de mais de 16. 000 médicos, a empresa oferece serviços em 25. 000 localidades e 100 especialidades, incluindo sinistros de compensação trabalhista (Workers’ Compensation), automóvel, responsabilidade civil (Liability) e incapacidade (Disability). A Dane Street atende seguradoras, Third-Party Administrators (TPAs), organizações de Managed Care e órgãos federais/estaduais com análises médicas especializadas, ajudando-os a tomar decisões precisas. A empresa é reconhecida pela qualidade, prazos de entrega ágeis e processos eficientes, tendo conquistado credenciais como a Acreditação da NCQA em Utilization Management e a certificação Great Place to Work.

Descrição

• The Legal Quality Analyst is responsible for managing the various aspects of the medical file review process. • They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. • Ensuring client and department standards have been met. • Quality Audits: Reviews reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed. • Follows up with the reviewer with any additional questions or clarifications needs. • Follows up with the client should there be any additional questions. • Updates clients frequently on referral progress. • Ensures the report is grammatically correct with no spelling errors. • Ensures each referral adheres to the QA checklist prior to the completion. • Formats reports for approval. • Communication: Communicates clearly and concisely between the customer, reviewer, and Operations team. • Must confidently speak with physicians and clients regarding the content of their peer reviews. • Other duties & special projects, as assigned and based on business needs.

🎯 Requisitos

• An Associate’s Degree or Bachelor’s Degree is preferred. • Auto Oriented • Paralegal experience • 18.001 counter affidavit experience • Tier 1 carrier experience • Likes to read/proofread • Excellent legal eyes • Okay with repetitive legal work that demands high-level quality assurance • Present exceptional communication skills with a clear understanding of company business lines. • The ability to apply critical thinking, manage time efficiently and meet specific deadlines. • Computer literacy and typing skills are essential. • Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work. • Supply and support their own internet services. • Maintaining an uninterrupted internet connection is a requirement of all work from home position.

🏖️ Benefícios

• Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. • Additionally, we offer voluntary life insurance options for you, your spouse, and your children. • We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. • Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. • Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. • Apple equipment and a media stipend are provided for remote workspace.