For companies:
For professionals:
For everyone:
For developers:
Responsibilities
Job Description:
Core Responsibilities:
* Evaluate external appeal applications for eligibility based on Insurance Law Article 49.
* Investigate complaints against regulated insurance companies.
* Screen requests for external appeals per Federal No Surprise Act and Insurance Law regulations.
* Serve as a liaison between consumers and financial entities using written/verbal communication.
* Maintain organized, updated electronic case files.
* Research, process, and resolve consumer and provider complaints.
* Handle calls, emails, and correspondence with internal/external stakeholders.
* Prepare reports and assist with special projects.
* Follow up on deliverables from internal teams.
Key Skills:
* Excellent written and verbal communication.
* Understanding of legal mandates and ability to apply them.
* Strong project management skills with experience handling multiple complex, time-sensitive files.
* Detail-oriented and organized.
* Proficiency in Microsoft Office (Outlook, Word, Excel, Teams).
* Reliable attendance and punctuality.
Must-Have (Non-Negotiable) Skills:
* Paralegal Certificate
* Eligibility to work in New York State
* Strong written and verbal communication skills.
* Ability to understand and apply legal mandates.
* Proficiency in Microsoft Office Suite.
Nice-to-Have Skills:
* Experience in insurance, healthcare law, or working with regulated financial entities.
* Prior experience with external appeals or complaint investigations.
* Previous work with the Federal No Surprise Act.
This job post is closed.