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Location : Connecticut - Hartford
Refer to Job # DTJW713125
Paralegal Case Manager Candidate will: Complys with relevant privacy and ethics rules, Health Insurance Portability and Accountability Ace (HIPAA) policies and claims management best practices. Communicates directly with all involved parties in a timely manner, investigates facts, conducts research, and obtains supporting documentation while analyzing insurance, medical treatment, and third party recoveries. Develops and maintains a working relationship with clients to ensure the expeditious gathering of facts and information to support litigation or settlement activities. Assumes some independent responsibility for files. Educates clients in order to set expectations, provide guidance, and instill confidence. Identifies parties in case and documents in case management system. Identifies liability and issues. Send notice letters to all insurers, including but not limited to: liability, uninsured, underinsurance carriers, and each insurer of accident vehicle, personal vehicle, and resident vehicle where relations/relatives are evident. Assists with developing client treatment plans and prepares medical summaries. Gathers information and documents necessary for expediting claims handling, demands, settlements, and litigation in a timely manner. Moves inventory of files and turns over files in order to expedite claim or settlement. Obtains coverage limits for plaintiff, which may include owners, operators, passengers, or household relatives, and determines all applicable available insurance. Reads and analyzes medical notes and reports while extrapolating and summarizing information. Utilizes knowledge of health plan documents, coverage, deductibles, co-insurance, and co-payments. Obtains, tracks, reviews, and analyzes explanations of benefits, medical invoices, statements, payments, and adjustments. Documents medical and lien information in collateral case summary and liens/letters of protection screens and reconciles liens/LOPs with medical bills. Drafts letters of protection for approval by supervisor. Obtains lost wage documentation and performs computations. Prepares legal documents including affidavits and legal correspondence. Under attorney supervision, may draft settlement documentation including demand letters, powers of attorney, settlement statements, and releases.
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