Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The... Nurse Appeals – Litigation & Legal Support is... primarily tasked with investigating and processing medical necessity appeals requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership...
and draft project-related agreements in alignment with the negotiation parameters set by the company. - Assist in managing professional liability, auto, or general liability claims against the company to ensure efficient resolution. - Work with internal resources and external insurance brokers t...
resolve Bond & Specialty Insurance (BSI) claims of varying... severity levels, following operational policies with limited supervision from claims management. - Prepare and present management reports accurately reflecting loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim recovery strategies. -...
Title: Senior Staff Attorney Insurance Defense Job Responsibilities: - Analyze complex... legal and factual issues while conducting extensive and well-reasoned legal research. - Independently develop and aggressively present defense strategies on behalf of clients for auto and general liability cases from inception through...
Senior Staff Attorney - Insurance Defense Job Responsibilities: As a... remote environment, focusing on litigation throughout the State of... Florida, particularly on the west coast and central regions. Your key responsibilities will include: - Analyzing complex legal factual issues and conducting extensive...
Title: Legal Assistant Job Description: Applicants must have current authorization to work in the United States on a full-time basis. The Legal Assistant is responsible for supporting the Legal and Operations teams during daily operations. This role involves collaboration with a team...
its in-house legal team, primarily focusing on commercial contracts, compliance, litigation, and other legal matters.... The key responsibilities include: Contracts and Commercial Transactions: - Independently reviewing, redlining, drafting, and summarizing a wide range of contracts, including NDAs, vendor agreements, service agreements, sublicens...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Advise internal teams, particularly the Benefits team, on the design, administration, and compliance of the company's . employee benefit plans, including 401(k) plans, health & welfare plans, fringe benefit programs, nonqualified deferred compensation...
Title: Sr. Claims Examiner, Medical Malpractice Job Responsibilities: - Confirm coverage of claims by reviewing policies and documents submitted in support of claims. - Analyze coverage and communicate coverage positions. - Conduct, coordinate, and direct investigation into loss facts and extent of damages. - Direct...
Relations Job Responsibilities: Strategic Vendor & Litigation Oversight - Lead vendor procurement,... Third Party Administrators (TPAs) supporting Claims. - Oversee litigation-related vendor engagements, ensuring alignment... with internal legal strategy, claims priorities, and customer-focused outcomes. - Operationalize vendor panel and rate processes consistent with industry...