Arbiter Attorney
The NAI
full-time
Posted on:
Location Type: Remote
Location: Remote • Virginia • 🇺🇸 United States
Visit company websiteSalary
💰 $70,000 - $90,000 per year
Job Level
Mid-LevelSenior
About the role
- This role is primarily responsible for arbitrating/deciding payment disputes
- The arbiter must remain neutral when analyzing the materials provided, and must be able to write a concise determination in a short period of time to meet deadlines
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case
- Research issues using federal law, federal regulations, relevant contract law
- Review plan contracts and other relevant information; make a decision as to whether an enrollee is entitled to benefits in cases involving contractual disputes
- Communicate the determination in a clearly written format
- Exercise independent judgment to ensure determination is accurate, well supported and defensible; take appropriate action as required
- Acquire all necessary information involving cases and render final determination based on the information provided by the appellant
- Manage highly complex case files
- Perform other duties as may be assigned by management
- Draft and review payment determination decisions
- Draft email responses to payment dispute questions or concerns from the disputing parties
- Interpret applicable regulations and policies associated with case to determine recommendation
- Ensure solutions are consistent with organizational objectives
Requirements
- Juris Doctorate preferred
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment
- Excellent organizational, interpersonal, written, and communication skills
- Ability to work as a team member, as well as independently
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products
Benefits
- Medical, Dental, and Vision benefits available
- 401(k) available with company match
- Paid holidays
- Paid Vacation Time
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
legal researchcontract lawpayment dispute resolutioncase analysisfact summarizationdecision writingregulatory interpretationcase file managementindependent judgmentdrafting decisions
Soft skills
neutralityorganizational skillsinterpersonal skillswritten communicationverbal communicationteamworkindependencedeadline managementanalytical thinkingproblem-solving
Certifications
Juris Doctorate