Risk Claims Management Paralegal

1103 Team Member Services; United States; Vor Ort; USD 50.000 - 93.000; Vollzeit

Zusammenfassung

AdventHealth is seeking a Paralegal to support the Corporate Services Risk Management department. The role oversees the claims process, coordinates with outside counsel, and ensures regulatory compliance while handling confidential information with discretion.

Responsibilities include developing policies for claims processing, training staff, and analyzing claims data to identify trends. Requires 3+ to 5+ years paralegal experience and proficiency in Lexis/Nexis and Florida filing portals.

Qualifikationen

• 3+ years of experience in a paralegal or related role.
• 5+ years of professional paralegal experience.
• Experience using Lexis/Nexis and Florida Courts filing portal.

Aufgaben

• Manage and oversee all aspects of the claims process.
• Ensure compliance with federal and state regulations.
• Develop and implement policies for claims processing.
• Monitor and evaluate effectiveness of claims processing activities.
• Coordinate with legal and compliance teams on regulatory issues.
• Conduct staff training on claims processing and compliance requirements.

Kenntnisse

Microsoft Outlook

Microsoft Word

Microsoft Excel

PowerPoint

Strong writing

Online research

Change management

Ausbildung

Associate

Bachelor's

Tools

Lexis/Nexis

Florida Courts filing portal

Jobbeschreibung

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:

(Please click the link below to view work 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.

Our mission:

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.