Dispute Resolution Paralegal
6 days ago
Dane Street, LLC is seeking a skilled Dispute Resolution Paralegal to join our team. As a paralegal in this role, you will play a critical part in ensuring the accuracy and efficiency of medical claims processing. With a focus on independent dispute resolution, you will review reports and medical records to ensure compliance with program standards.
About the Role:
We are looking for an experienced paralegal with 3-5 years of experience in claims resolution or arbitration. You will be responsible for evaluating medical information, organizing claims data, and communicating with other reviewers and office teams. Your excellent communication and organizational skills will enable you to work effectively under pressure, meet deadlines, and provide strong customer service.
Key Responsibilities:
- Evaluate medical information to ensure cases are adjudicated properly
- Organize medical records and documentation for accurate claims processing
- Participate in training programs, including arbitration training
- Apply policy guidelines to determine compliance with program standards
- Evaluate claims for conflict of interest and appropriateness
- Work within established timeframes and deadlines
- Provide exceptional customer service and communicate effectively with clients
- Oversight of complex cases requiring additional review
About Dane Street, LLC:
Dane Street, LLC is a fast-paced company with a high-performance culture. We process over 200,000 insurance claims annually for leading national and regional carriers, third-party administrators, managed care organizations, employers, and pharmacy benefit managers. Our customized Independent Medical Exam and Peer Review programs assist clients in reaching medical determinations as part of the claims management process.
What We Offer:
In addition to a competitive salary, we offer generous Paid Time Off, an excellent benefits package, and opportunities for professional growth and development.
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