Health Care Attorney

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Health Care Attorney(Remote)
Duties: Review cases to determine and summarize facts of each case assigned and assesses issues involved in the case. Research issues using federal law, federal regulations, relevant contract law and other sources as defined by the client contract. Review plan contracts and other relevant information and then make a decision as to whether an enrolled is entitled to benefits in cases involving contractual disputes. Communicate the determination in a clearly written format. Exercise independent judgment to ensure determination is accurate, well-supported and defensible and take appropriate action as required. Research issues using federal law, federal regulations, relevant contract law and other sources as defined by the client contract. Acquire all necessary information involving information and render final determination based on the information provided by the appellant. Perform other duties as may be assigned by Management.

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