Haymond Law Firm
  • Hartford, CT, USA
  • Full Time

Duties and Responsibilities:

  1. Complies with relevant privacy and ethics rules, Health Insurance Portability and Accountability Ace (HIPAA) policies and claims management best practices.

  2. 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.*

  3. Develops and maintains a working relationship with clients to ensure the expeditious gathering of facts and information to support litigation or settlement activities.*

  4. Assumes some independent responsibility for files*

  5. Educates clients in order to set expectations, provide guidance, and instill confidence.*

  6. Identifies parties in case and documents in case management system. Identifies liability and

    issues.*

  7. 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. *

  8. Assists with developing client treatment plans and prepares medical summaries.*

  9. Gathers information and documents necessary for expediting claims handling, demands,

    settlements, and litigation in a timely manner.

  10. Moves inventory of files and turns over files in order to expedite claim or settlement. *

  11. Obtains coverage limits for plaintiff, which may include owners, operators, passengers, or

    household relatives, and determines all applicable available insurance.*

  12. Reads and analyzes medical notes and reports while extrapolating and summarizing information.*

  13. Utilizes knowledge of health plan documents, coverage, deductibles, co-insurance, and co-

    payments.*

  14. Obtains, tracks, reviews, and analyzes explanations of benefits, medical invoices, statements,

    payments, and adjustments.*

  15. Documents medical and lien information in collateral case summary and liens/letters of protection

    screens and reconciles liens/LOPs with medical bills.*

  16. Drafts letters of protection for approval by supervisor.*

  17. Obtains lost wage documentation and performs computations.*

  18. Prepares legal documents including affidavits and legal correspondence.*

  19. Under attorney supervision, may draft settlement documentation including demand letters, powers of attorney, settlement statements, and releases.

     

Haymond Law Firm
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