Adjuster - Complex Casualty Litigation Job Responsibilities: - Manage complex commercial... vehicles, competing claims, and significant injuries. - Direct counsel through the litigation process and engage experts... from various disciplines such as scene reconstruction, civil engineering, forensics, and biomechanics. - Conduct negotiations, including mediations...
related to intellectual property litigation and regulation, with a... significant focus on the federal courts and the United States Patent and Trademark Office. - Quickly turning around clear, well-organized spot news stories. - Locating and organizing relevant information from public documents and...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals is tasked with investigating and processing medical necessity appeals requests from both members and providers. This role supports legal, management, and executive leadership by managing State Fair Hearing and External Medical...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, investigating, and developing complex healthcare cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting...
Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and...
support regarding the company's . employee benefit plans and programs. The primary responsibilities include: - Advising Benefits and other internal teams on the design, administration, and compliance of the company's . employee benefit plans, including the 401(k) plan, health & we...
Job Title: Health Care Litigation Associates Job Responsibilities: -... all aspects of complex health care litigation and compliance... Information (ESI). - Prepare cases for trial. - Engage in significant client contact to manage cases effectively. - Work on health care regulatory matters, including... HIPAA comp...
related to intellectual property litigation and regulation. - Quickly turning... around clear, well-organized spot news stories on intellectual property issues. - Locating and organizing relevant information from public documents and other sources to support reporting. - Building a network of sources to enhance...
ensuring compliance with applicable laws and regulations. - Advise internal teams on the design, administration, and compliance of employee benefit plans, including 401(k) plans, health & welfare plans, fringe... benefit programs, nonqualified deferred compensation plans, and leave of absence policies. -...
Title: Family Law Attorney Job Responsibilities: - Represent clients in family law cases, including divorce, child custody, spousal support, and property division. - Draft legal documents, including pleadings, motions, and agreements. - Conduct legal research and stay updated on changes in family law. - Attend...
Job Title: Health Care Litigation Associates Job Responsibilities: -... Engage in litigation tasks including preparing and... arguing motions. - Take depositions and manage complex discovery processes and Electronic Stored Information with a focus on health care litigation. - Handle health... care regulatory... matters and......
leadership by managing State Fair Hearing and External Medical Review requests. - Act as a resource for both clinical and non-clinical teams by conducting thorough investigations and reviews of medical necessity appeals in preparation for litigation. - Document and log appeal... in...
Job Title: Experienced Litigation Paralegal Job Responsibilities: - Organize and... maintain electronic and paper correspondence and files for multiple cases, ensuring accurate tracking of related deadlines. - Assist attorneys in conducting factual investigations, including client interviews. - Draft screening memos and engagement letters/retainers. - Serve...
responsible for litigating a variety of workers’ compensation claims. These claims often involve high-exposure, complex litigation, including but not limited... to repetitive trauma, occupational disease, death, and hearing loss claims. The attorney will represent clients from various industries such a...