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The candidate provides hands on file analyses and reporting to the claims professional in the area of cause of injury, reasonableness of and medical necessity of treatment and residual treatment plans. Attends depositions and mediation proceeding as called upon to support claims professionals. Assists with the review of plaintiff questions, analysis of expert witness reports and depositions. Delivers appropriate medical training and education to claims pro...
Counsel- Dental and Vision
Duties: Accountable for a working knowledge and expertise of state laws and regulations pertaining to fully-insured dental and vision offerings, the Affordable Care Act, state benefit mandates as they pertain to dental and vision, and federal and state privacy laws and regulations (including the HIPAA Privacy Rule) as they affect the Dental and Vision business; will assist with responses to conduct exams, member and provider complaints to be subm...
Offerings and Services Regulatory Compliance Counsel - Health
Duties: Providing the legal support for regulatory compliance of Accenture offerings and services within his offerings and services regulatory compliance subgroup. Responsible for the offerings and services assigned to him in his offerings and services regulatory compliance subgroup, for (i) performing regulatory risk assessment and designing and implementing compliance programs for offerings and services from c...