Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves investigating and processing medical necessity appeal requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Provide legal guidance and strategic support for the company's . employee benefit plans and programs, ensuring compliance with applicable laws and regulations. - Advise Benefits and other internal teams on the design, administration, and...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves a range of responsibilities focused on managing and processing medical necessity appeals from members and providers. Key duties include: - Supporting legal, management, and executive leadership by managing State Fair...
claims of heightened complexity, including complex extracontractual matters, bad faith claims, and other major litigation. The role involves managing... large-scale projects and may include additional duties as assigned. Key responsibilities include: - Providing legal advice to the claims organization on complex...
Title: Commercial Claims Counsel Job Responsibilities: - Provide legal advice on complex commercial insurance claims, including bad faith, coverage, and extra-contractual allegations. - Perform comprehensive factual and legal research and analysis. - Review documents as requested by the Legal Department management. - Develop and conduct...
legal advice related to the business units and anticipate future legal needs. - Draft and review policy documents while anticipating litigation exposure. - Coordinate support for... assigned business units from other parts of the legal department. - Use broad legal knowledge to identi...
Title: Director, Assistant General Counsel - Customer Policies and Forms Job Responsibilities: The Director, Assistant General Counsel - Customer Policies and Forms is a senior leadership position responsible for providing strategic legal guidance for Personal Auto and other insurance lines. The...
Title: Senior Associate Counsel Job Responsibilities: - Provide comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence within a hospital setting. - Advise hospital leadership and procurement teams on the legal implications of...