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ProfileAttorney 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
Requirements: Must have a JD Degree and a Florida Bar Membership is preferred. Must also have strong communication and writing skills. Proficiency in Word and Excel is required. Must be committed to working in a non-litigation legal environment. Will have strong analytical skills, understand complex insurance contracts, and be able to multitask, reprioritize, and manage a caseload of accounts.
Specialized Healthcare Partners
220 Congress Park Drive,
Delray Beach, FL 33445