• Job Description

  Req#: 25-36986
  
  Job Description:
  
  Pay Range: $25hr - $28hr
  Responsibilities:
  • Evaluate External Appeal applications for eligibility based on Insurance Law Article 49.
  • Request necessary information from appropriate parties and respond to inquiries regarding the appeal process.
  • Investigate complaints against regulated insurance companies, applying mandates in Insurance Law and approved policy provisions.
  • Communicate findings to stakeholders upon completing investigations.
  • Screen requests for External Appeals in accordance with the Federal No Surprises Act.
  • Screen requests under Insurance Law, regulations, and established protocols.
  • Act as liaison with consumers and representatives of financial entities through written and verbal communication.
  • Maintain and organize electronic case files.
  • Research, process, and resolve consumer and provider complaints.
  • Follow up on deliverables from internal stakeholders.
  • Handle correspondence, calls, emails, and other communication with internal and external parties.
  • Prepare reports and other documents as needed.
  • Assist with special projects and research.
  • Perform other duties as assigned.
  Requirement/Must Have:
  • Paralegal Certificate.
  • Eligible to work in New York State.
  Should Have:
  • Excellent written and verbal communication skills.
  • Ability to understand legal mandates and provisions.
  • Strong interpersonal and project management skills, including managing multiple time-sensitive and complex files.
  • Detail-oriented with the ability to prioritize and organize tasks effectively in a fast-paced environment.
  • Proficiency in Microsoft Office, including Outlook, Word, Excel, and Teams.
  • Ability to work independently and collaboratively within a team.
  • High reliability, with strong time and attendance discipline.
  
  

• About the company

  We are a team of technical visionaries who joined forces to form a company that would gather the best and brightest talent in the world. The company uses this talent to help other organizations fulfill their technological dreams and goals and make them a reality. Welcome to Cynet Systems Inc. – a premier staffing and recruiting company – a nationally and locally certified diversity firm.

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