We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
We are looking for an experienced Workers' Compensation Paralegal to join a boutique law firm in Wilmington, Delaware. In this role, you will play a pivotal part in supporting a high-volume defense practice, collaborating closely with attorneys and clients to manage cases effectively. This is an on-site position that requires strong organizational skills and attention to detail.<br><br>Responsibilities:<br>• Manage workers' compensation cases from initial intake to resolution, focusing on Delaware-specific matters.<br>• Draft and organize legal documents such as petitions, answers, discovery responses, settlement agreements, and correspondence.<br>• Compile and analyze medical records, pharmacy documentation, wage information, and other materials to prepare summaries and chronologies.<br>• Coordinate discovery processes, independent medical exams (IMEs), expert witness engagements, and hearing logistics.<br>• Monitor deadlines and schedule hearings, depositions, and other case-related activities while keeping attorneys and clients informed.<br>• Handle e-filing and document submissions for Delaware Industrial Accident Board proceedings and Superior Court appeals.<br>• Prepare and update exhibits and hearing binders, ensuring accuracy and readiness for legal proceedings.<br>• Communicate professionally with clients, adjusters, opposing counsel, and other stakeholders regarding case updates and scheduling.<br>• Accurately track billable hours and associated costs to meet monthly productivity targets.<br>• Maintain digital case files and templates to ensure consistency and organization.
We are looking for an experienced Insurance Defense Associate to join our dynamic legal team in Philadelphia, Pennsylvania. This role is ideal for a dedicated individual who is eager to work in a collaborative yet fast-paced environment, managing complex litigation cases and providing exceptional legal support. If you have a passion for insurance defense and a commitment to delivering high-quality legal services, we encourage you to apply.<br><br>Responsibilities:<br>• Analyze new case files to formulate strategic action plans and provide recommendations.<br>• Draft and review pleadings, motions, and other legal documents, ensuring accuracy and adherence to procedural requirements.<br>• Oversee discovery processes, including preparing responses and managing document production.<br>• Represent clients in depositions, hearings, and other litigation events, delivering comprehensive updates and reports.<br>• Negotiate settlements effectively and obtain necessary approvals while preparing cases for trial when required.<br>• Collaborate closely with paralegals and legal assistants to ensure seamless case management.<br>• Conduct legal research to support case strategies and arguments.<br>• Maintain consistent communication with clients to provide updates and address inquiries.<br>• Monitor case progress and deadlines to ensure timely execution of all legal tasks.
