Legal Quality Analyst

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.