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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Legal Staff
Insurance Coverage
Litigation - Whistleblower - CFTC
Min 3 yrs required
Claims Examiner - Bill Review The candidate will be responsible, with moderate guidance, for reviewing claims related billings and billing appeals from law firms for all company Claims operations. Will report directly to the Manager, Claims – Bill Review. Specific job duties and responsibilities include: Review law firm and TPA bills using experience-gained knowledge of legal fee schedules, litigation guidelines and billing practices, submitted in both paper format and utilizing our e-billing tool. Maintaining knowledge and familiarity with corporate claims quality standards and ensure consistent application of guidelines. Works diligently to find resolutions to problems and educates/intercedes when necessary on the company’s behalf. Review and maintain standards of turnaround expectations and customer service expectations. Work collaboratively in a team environment. Handle invoice appeals from law firms.
Qualification and Experience
The candidate should have Bachelor’s degree, with J.D. is preferred. Should have 3+ years relevant insurance claims or litigation management experience. Must have knowledge of the legislative environment and the insurance marketplace. Should have litigation management background as an attorney, paralegal or Claims professional. Must have professional written and oral communication skills. Negotiation skills are needed. Must6 have proficiency in Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
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