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Health Advocates Network is currently seeking a Paralegal to work at a facility in Albany, NY. These are registry positions with our company. Shift details: M-F 9:00AM – 5:00PM. DFS will train the paralegal on the internal process and applicable Laws. *Telecommuting may be allowable upon discretion of the hiring manager. *DFS does not provide parking, but the office is accessible by bus.
Job Responsibility:
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
Communicate findings when the investigation is complete
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
Follow-up on deliverable from internal stakeholders
Handle correspondence, calls, emails and other forms of communication with internal and outside stakeholders
Prepare reports and other documents
Assist with special projects and research as needed