Location: New York,NY, USA
Job Description Required Education: Candidates must have a paralegal certificate. Required Qualifications/Skills/Experience: • Evaluate External Appeal applications • Investigate complaints • Excellent verbal communication, writing, and interpersonal skills • Ability to understand legal mandates for arithmetic errors and correct prevailing wages • Strong project management skills, including experience managing multiple time-sensitive, complex files simultaneously • Research. • Microsoft Office, Outlook, Word, Excel • Handle correspondence, calls, emails and other forms of communication with internal and outside stakeholders • Prepare reports Paralegal Job Duties: Evaluate external appeal applications for eligibility based on requirements in Insurance Law Article 49. Request necessary information from appropriate party and respond to questions about the process. Investigate complaints against regulated insurance companies, applying mandates in Insurance Law and provisions in the approved policy. Request necessary information from appropriate party and communicate findings when the investigation is complete. • Department will train the paralegal on the internal process and applicable Laws, applicants must have excellent written and verbal communication skills. • Screen requests for External Appeals in accordance with the Federal No Surprise Act. • Screen requests for External Appeal in accordance with Insurance Law, Regulation, and the established protocols. • Act as liaison using written and verbal communication for administrative processes with consumers and representatives of financial entities. • Keep electronic case files updated, complete and organized. • Research, process, and resolve consumer and provider complaints. • Work individually and as part of a team. • Excellent verbal communication, writing, and interpersonal skills. • Ability to understand legal mandates. • Strong project management skills, including experience managing multiple time-sensitive, complex files simultaneously. • Detail-oriented with the ability to organize and prioritize tasks effectively in a fast-paced environment. • Reliability, and time and attendance are critical. • Follow-up on deliverable from internal stakeholders • Assist with special projects and research as needed; and • Performs other duties as assigned