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ProfileAssociate Attorney Responsibilities: Appeal wrongfully denied and delayed insurance claims through the insurance carriers’ internal appeals process; Submit appeals to Independent Review Organizations for external review; Utilize federal regulations and state statutes to resolve claims; Negotiate settlement agreements with insurance carriers; Identify chronic payer issues and advise clients on potential remedies; and Maintain a working knowledge of assigned clients.
Qualification and Experience
Candidate must have a JD Degree and a State Bar Membership is preferred. Must have strong communication and writing skills. Proficiency in Word and Excel is required. Strong analytical skills, understand complex insurance contracts, and be able to multitask, reprioritize, and manage a caseload of accounts.