Location: Henderson, NV
Company: BCG Attorney Search
to preparing cases for trial. The ideal candidate will have at least 5 years of experience, be admitted to the Nevada State Bar (California Bar a plus), and possess a strong background in insurance defense litigation. This role involves developing litigation strategies, attending local hearings, and reporting to insurance carriers and other clients.
Duties: Conduct depositions and examinations under oath. Prepare discovery requests and responses to discovery. Develop and implement effective litigation strategies. Attend local hearings on behalf of clients. Draft litigation papers, including motions and legal briefs. Perform thorough investigations related to insurance claims. Prepare
cases for trial, including witness preparation and trial strategy. Report case developments to insurance carriers and other clients. Summarize medical document reviews for case evaluation.
Exposure to preparing motions, conducting examinations under oath and depositions, and conducting extensive document reviews in sophisticated insurance litigation. Requirements:5+ years of experience in Insurance Defense Litigation. Familiarity with all phases of discovery. Strong interest in investigating and litigating insurance claims. Strong written and verbal communication skills. Education: Juris Doctor (JD) from an accredited law school. Certifications: Admission to the Nevada State Bar (California
Bar a plus). Skills: Comprehensive understanding of insurance defense litigation.
Effective litigation strategy development. Excellent written and verbal communication skills. Proficient in conducting depositions and examinations under oath. Strong investigative skills. Ability to summarize medical document reviews effectively. Experience in preparing motions and conducting extensive document review. Knowledgeable about all phases of discovery.
Legal Jobs refer to various professional roles within the legal sector, including attorneys, paralegals, legal secretaries, and judges. They typically require specialized knowledge of the law, strong analytical skills, and the ability to interpret and apply legal frameworks. Legal professionals work in diverse settings, such as law firms, corporate legal departments, government agencies, and non-profits. A distinctive feature of Legal Jobs is their focus on upholding justice, resolving disputes, and ensuring compliance with legal statutes and regulations. They often demand rigorous education and ethical standards, with a commitment to confidentiality and client advocacy.
Legal Jobs refer to various professional roles within the legal sector, including attorneys, paralegals, legal secretaries, and judges. They typically require specialized knowledge of the law, strong analytical skills, and the ability to interpret and apply legal frameworks. Legal professionals work in diverse settings, such as law firms, corporate legal departments, government agencies, and non-profits. A distinctive feature of Legal Jobs is their focus on upholding justice, resolving disputes, and ensuring compliance with legal statutes and regulations. They often demand rigorous education and ethical standards, with a commitment to confidentiality and client advocacy.
the overall success of the firm. This position provides an excellent opportunity for experienced and newly licensed attorneys to advance their careers in a dynamic legal environment. Duties Handle volume consumer and commercial debt collection caseloads. Prepare and execute court calls, motions, contested hearings, arbitrations, and trials.
Draft, review, and approve pleadings, including complaints, motions, discovery, and post-judgment supplemental proceedings. Requirements Law degree (JD) and active Illinois law license. Law license in Kentucky, Indiana, and/or Ohio is a plus. Experienced and newly licensed attorneys are encouraged to apply. Education Juris Doctor (JD) degree from an
accredited law school. Certifications Active Illinois law license. Additional licenses in Kentucky, Indiana, and/or Ohio are advantageous. Skills Strong legal research and analytical skills.
Excellent written and verbal communication abilities. Ability to manage and prioritize a high-volume caseload. Detail-oriented with a commitment to accuracy and thoroughness. Benefits Medical and dental coverage.401K plan with company match. Paid time off (PTO). Paid parental leave. Paid Bar dues. Representing creditors, this firm helps to create fair payment solutions for consumers. The firm fosters a friendly work environment with a high level of professionalism and ethical standards expected of the legal profession.
Join us and start doing your life’s best work. SM This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.
Our office is located at 2720 N Tenaya Way Las Vegas, NV. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. Primary Responsibilities: Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating, and resolving all types of appeals
and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications, and decisions. Analyzes and identifies trends for all appeals and grievances.
May research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers. Research Information Related to Claims Appeals or Grievances Analyze/research/understand how a claim was processed and why it was denied Obtain relevant medical records to submit appeals or grievance for additional review, as needed Leverage appropriate resources to obtain all information relevant to the claim Identify and obtain additional
information needed to make an appropriate determination Obtain/identify contract language and processes/procedures relevant to the appeal or grievance Work with applicable business partners to obtain additional information relevant to the claim (e.
g. Network Management, Claim Operations, Enrollment, Subrogation) Determine whether additional appeal or grievance reviews are required (e. g. medical necessity), and whether additional appeal rights are applicable Determine where specific appeals or grievances should be reviewed/handled, and route to other departments as appropriate CAP Process Claims Appeals or Grievances Identify and obtain additional information needed to make an appropriate determination Ensure that members obtain a full and fair review of their appeal or grievance Utilize appropriate claims processing systems to ensure that the claim is processed appropriate Make appropriate determinations about whether a claim should be approved or denied based on available analyses/research of claims information Document final determination of appeals or grievances using appropriate templates, communication processes, etc.
(e. g. response letters, Customer Service documentation) Communicate appeal or grievance information to appellants (e. g. members, providers) within the required timeframe (e.
g. DOL, DOI) Communicate appeal or grievance issues/outcomes to all appropriate internal or external parties (e. g. providers, regulatory This is a challenging role with serious impact. You’ll need strong analytical skills and the ability to effectively interact with other departments to obtain original claims processing details. You’ll also need to effectively draft correspondence that explains the claim resolution/outcome as well as next steps/actions for the member. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications: High School Diploma / GED OR equivalent years of work experience 2+ years of experience analyzing and solving appeals in the health care industry Experience with Microsoft Office including Microsoft Word (create correspondence and work within templates) Microsoft Excel (ability to sort and filter) Microsoft Outlook (email and calendar management) Ability to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm).
It may be necessary, given the business need, to work occasional overtime. Must be 18 years of age or older Preferred Qualifications: Experience utilizing claims platform FACETS Previous experience with creating resolution letters Experience with health care, medical, or shop terminology experience Experience in healthcare coding practices (e. g. CPT's, HCPCS, DRG, ICD-9, ICD-10) Experience with healthcare business segments (e. g. Commercial, Behavioral Health) Soft Skills: Research and analytical skills Strong written communication skills including advanced skills in grammar and spelling Nevada Residents Only: The hourly range for Nevada residents is $16.00 - $31.44 per hour.
Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, United Health Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with United Health Group, you’ll find a far-reaching choice of benefits and incentives.
At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, interactionuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: United Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, age, national origin, protected veteran status, disability status, interactionual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. United Health Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment. #RPO #REDFor more details: jobs-search. org/onsite_las-vegas-c438598/onsite-appeals-representative-las-vegas-nv-las-vegas_i1973365938
