Paralegal

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.

    
    


20. Knowledge of PIP in Massachusetts extremely helpful.