Claims Legal Support Specialist

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Claims Legal Support Specialist
The candidate will develop working knowledge of Company three-year strategic plan. Manage projects and workflows associated with Claims-related strategic initiatives. Coordinate key stakeholders managing strategic programs and initiatives. Establish partnership with Service/Advice team and help manage Claims-related customer issues and inquiries. Track trial outcomes and prepare trial report. Pull case law for coverage issues. Schedule meetings/conference calls requiring multiple attendees. Track state-specific claims legal issues. Conduct state-specific Litigation Administrative Support. Obtain pleadings from the court when necessary. Assist with claims file organization and management of documents in claims systems. Work with PolicyOwners and Defense Counsel to obtain and manage medical records. Draft claims correspondence to PolicyOwners, insureds and other key stakeholders. Prepare form reservation of rights letters. Keep and monitor calendar of all claims team deadlines and major milestones. Keep and monitor trial and mediation calendar and ensure timely presentation of cases for review. Manage correspondence with internal medical faculty. Check and confirm coverage based on legal pleadings and motions. Prepare presentation materials for claims reviews, board meetings and departmental meetings. Assist with management of Chief Claims Officer’s calendar and provide proactive administrative support. Coordinate meetings and partnership calls with external departments, insureds, and PolicyOwners. Manage of working documents on strategic plan initiatives. Coordinate of working sessions/project groups for strategic plan-related meetings. Draft reinsurance reports; managing reinsurance requests. Establish partnership with Data team, incl. cleaning up/correcting data generated in reports. Coordinate of biannual claims reviews with large accounts. Coordinate attorney selection process and reviews of outside counsel. Bachelor’s Degree and paralegal certification preferred (or significant paralegal/legal assistant experience). Experience with insurance and/or claims a plus. Demonstrated success with data analysis and synthetization of large volume of legal data. Highly organized with strong attention-to-detail. Proactive and creative thinker. Highly adaptable to changing priorities and business needs. Operates autonomously.

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