Qa Case Manager - Pre-Litigation

The Smith Law Center

Qa Case Manager - Pre-Litigation

Hampton, VA
Full Time
Paid
  • Responsibilities

    Why This Role Matters The QA Case Manager plays a critical role in ensuring that pre-litigation cases are worked correctly, consistently, and in accordance with firm standards. This position exists to identify issues early, prevent downstream problems, and protect case value. The QA Case Manager carries a reduced personal caseload and provides advisory quality assurance review to other case managers. The role does not include formal supervisory authority. Instead, it functions as a senior subject-matter expert who directs corrective action, resolves issues within scope, and escalates unresolved or systemic concerns to firm leadership. This is a terminal SME role intended for an experienced personal injury case manager. Responsibilities: What You Will Do Quality Assurance and File Review • Perform ongoing QA review of active pre-litigation files • Ensure compliance with firm SOPs, workflows, and documentation standards Review files for: • Medical records and billing completeness • Lien identification, documentation, and tracking • Clear medical chronologies and issue spotting • Timely progression toward demand • Complete and well-supported demand packages • Identify risks, errors, and workflow breakdowns early • Provide clear corrective direction to case managers • Escalate unresolved or recurring quality issues to the COO Caseload Management • Manage a reduced personal caseload (approximately 20% fewer cases than standard Case Manager roles) • Handle cases of equal or greater complexity • Maintain firm standards for documentation, deadlines, and client communication Workflow Oversight • Monitor case progression across the pre-litigation team • Reinforce consistent workflow execution • Identify individual versus systemic issues • Coordinate with intake, verifications, investigators, and attorneys as required Partner Point of Contact (GDC Matters) • Serve as the primary point of contact for partners on GDC-related matters • Receive and triage partner inquiries arising in litigation • Resolve issues within role scope • Assign issues to the appropriate internal owner when outside the role scope • Escalate unresolved or systemic issues to the COO Coaching and Support • Provide non-disciplinary guidance to case managers • Serve as a resource on medical records, liens, demand preparation, and issue identification • Support onboarding and development of case managers as needed Qualifications: What We Are Looking For • Extensive experience in plaintiff personal injury pre-litigation case management • Advanced knowledge of medical records, billing, and lien issues • Strong working knowledge of Neos (or similar case management systems) • Close attention to detail and strong judgment • Ability to provide direct, constructive feedback to peers • Ability to operate in an advisory, non-supervisory role • Organized, disciplined, and accountable Compensation: $60,000

    • What You Will DoQuality Assurance and File Review • Perform ongoing QA review of active pre-litigation files • Ensure compliance with firm SOPs, workflows, and documentation standardsReview files for: • Medical records and billing completeness • Lien identification, documentation, and tracking • Clear medical chronologies and issue spotting • Timely progression toward demand • Complete and well-supported demand packages • Identify risks, errors, and workflow breakdowns early • Provide clear corrective direction to case managers • Escalate unresolved or recurring quality issues to the COOCaseload Management • Manage a reduced personal caseload (approximately 20% fewer cases than standard Case Manager roles) • Handle cases of equal or greater complexity • Maintain firm standards for documentation, deadlines, and client communicationWorkflow Oversight • Monitor case progression across the pre-litigation team • Reinforce consistent workflow execution • Identify individual versus systemic issues • Coordinate with intake, verifications, investigators, and attorneys as requiredPartner Point of Contact (GDC Matters) • Serve as the primary point of contact for partners on GDC-related matters • Receive and triage partner inquiries arising in litigation • Resolve issues within role scope • Assign issues to the appropriate internal owner when outside the role scope • Escalate unresolved or systemic issues to the COOCoaching and Support • Provide non-disciplinary guidance to case managers • Serve as a resource on medical records, liens, demand preparation, and issue identification • Support onboarding and development of case managers as needed

  • Compensation
    $60,000 per year