Legal Quality Analyst

Role Overview

• 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.