Risk Claims Management Paralegal

AdventHealth; Florida; Sur place; USD 50 000 - 93 000; Plein temps

Résumé du poste

AdventHealth in Altamonte Springs, Florida is seeking a Paralegal to support the Corporate Services Risk Management team. This role manages the claims process, ensures regulatory compliance, and collaborates with external counsel to handle designated claims.

Responsibilities include policy development for claims processing, trend analysis of claims data, and staff training on compliance requirements. Strong writing and organizational skills are essential; experience with Lexis/Nexis and court

Qualifications

• Proficiency with MS Office programs and basic online research.
• Bachelor's degree preferred; Associate degree required.
• 3+ years in a paralegal role; 5+ years preferred.
• Experience with Lexis/Nexis and Florida Courts filing portal preferred.
• Strong written communication and organizational skills required.
• Ability to manage confidential information and work under pressure.

Responsabilités

• Manages and oversees all aspects of the claims process.
• Ensures compliance with federal and state regulations.
• Provides guidance on operations impacting patient privacy and data protection laws.
• Develops and implements policies for claims processing.
• Monitors effectiveness of claims processing activities and reports findings.
• Coordinates with legal/compliance teams on regulatory issues.

Connaissances

MS Office Suite

Strong writing

Strong organizational

Change management

Self-motivator

Adapt to new responsibilities

Formation

Associate

Bachelor's

Outils

Lexis/Nexis

Florida Courts filing portal

Description du poste

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

900 HOPE WAY

City:

ALTAMONTE SPRINGS

State:

Florida

Postal Code:

32714

Job Description:

The Paralegal provides the professional support necessary for AdventHealth to meet the day-to-day functions of the Corporate Services Risk Management department and its claims team. This position prepares and distributes documents, manages projects, and utilizes organizational and time management skills to complete assignments effectively. Additionally, this role requires outstanding communication and stress management skills to handle daily responsibilities. In addition, this position manages highly confidential information with discretion. This role reports to the Executive Director of Professional Liability Litigation Strategy and works collaboratively with Claim Managers and external legal counsel in the management and resolution of designated claims.

• Manages and oversees all aspects of the claims process.
• Ensures compliance with federal and state regulations.
• Provides expert guidance on operations intersecting with patient privacy regulations and consumer data protection laws.
• Develops and implements policies and procedures for claims processing.
• Monitors and evaluates the effectiveness of claims processing activities.
• Coordinates with legal and compliance teams to address regulatory issues.
• Conducts training and education for staff on claims processing and compliance requirements.
• Reviews and analyzes claims data to identify trends and areas for improvement.
• Collaborates with other departments to ensure seamless operations and compliance.
• Investigates and resolves complex claims issues.
• Prepares and submits reports to regulatory agencies as required.
• Stays updated on changes in laws and regulations affecting claims processing.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Skill in using Microsoft Outlook, Word, Excel, PowerPoint. [Required]
• Basic use of online research systems. [Required]
• Basic use of internet. [Required]
• Change management skills. [Required]
• Self-motivator, quick thinker. [Required]
• Strong skills using Microsoft Office Programs. [Preferred]
• Ability to quickly adapt to new situations and responsibilities. [Preferred]
• Strong writing skills. [Preferred]
• Strong organizational skills. [Preferred]

Education:

• Associate [Required]
• Bachelor's [Preferred]

Work Experience:

• 3+ experience in a professional role as a paralegal or related work experience [Required]
• 5+ experience in a professional role as a paralegal or related work experience [Required]
• Experience using Lexis/Nexis and Florida Courts filing portal. [Preferred]
• Previous experience as a paralegal. [Preferred]

Licenses and Certifications:

• Certified Paralegal (CP) [Preferred]

Physical Requirements:

• Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$50,211.20 - $93,392.00

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.