Insurance Paralegal

The IHC Group New York , NY 10007

Posted 3 weeks ago

LOCATION

Phoenix, AZ or New York, NY

SUMMARY

Certified Fraud Examiner or experience with SIU and fraud investigations. Ability to perform advanced administrative duties under general supervision and primarily supports management and/or complex business function by providing independent and advance administrative expertise to the compliance department.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Be a contributing member to the SIU team, assisting with legal research, investigations, and directing investigations.

  • Analyzes incoming and/or outgoing information and processes to identify problem areas while ensuring legal and regulatory compliance and/or work efficiencies are maintained; alerts division management to potential problem situations.

  • Drafting legal documents and pleadings, including subpoena responses, arbitration responses, motions, certifications, and complaint responses

  • Investigating the facts of potential fraud which could include- interviewing witnesses and performing legal research into case law and precedents

  • Handling discovery

  • Organizing and managing files, documents, and exhibits

  • Filing documents with federal and state courts and assistance with arbitrations

  • Composes handles and distributes correspondence including those of a confidential and complex nature.

  • Assist management with preparing varies reports and logs.

  • Maintains an electronic filing system.

  • Assist and provide back-up for other compliance oriented tasks.

  • Provides mail distribution services; maintains filing system and records; follows-up on pending items under limited supervision.

  • Perform similar job-related duties as assigned

REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Experience with policies, practices, and procedures in a business environment

  • Must be skilled in legal research on various types of platforms

  • Must be a Certified Fraud Investigator or have comparable experience

  • Proficient personal computer skills with thorough knowledge of various software packages including Microsoft Office suite of programs; i.e., Word, Excel, PowerPoint, Outlook, etc.

  • Strong composition and writing skills including grammar, spelling and punctuation

  • Excellent verbal communication skills with the ability to maintain confidentiality

  • Excellent organization skills, attention to detail with high degree of accuracy, and the ability to work independently and exercise judgment

  • Strong time management and prioritization skills with the ability to work under pressure and meet deadlines

  • This position requires extensive or prolonged typing/keyboarding.

  • This position requires sitting over 66% of the time.

  • This position requires Visual Acuity at 20 inches (or less) over 66% of the time.

SUPERVISORY RESPONSIBILITIES

  • None

CERTIFICATES, LICENSES, REGISTRATION

  • None

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Small Motor Skills:Picking, pinching, typing or otherwise working primarily with fingers rather than with whole hand or arm, as in handling.

Speaking: Expressing or exchanging ideas by means of spoken word. Those activities in which require detailed or important spoken instructions must be conveyed to other workers accurately and quickly.

Hearing: Ability to receive detailed information through oral communication with or without correction.

Repetitive Motion: Substantial movement (motions) of the wrist, hands and fingers.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Normal office environment with controlled temperature

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