Claims Specialist

Orlando Health•Orlando, FL

About The Position

The Claims Specialist serves as both a legal and business specialist, supporting claims management and other legal-related matters. The role performs law-related tasks such as processing and distributing subpoenas and other legal documents, responding to legal requests for information, and scheduling depositions of employed physicians and team members. The position also maintains confidentiality of sensitive employee and physician information and protected health information in accordance with applicable state and federal law.

Requirements

Associate’s degree in a health-related field, paralegal studies, or business; alternatively, a high school diploma or equivalent plus four years of related healthcare, paralegal, or business experience may substitute for the degree.
Two years of legal or claims support experience, or other closely related work experience.
No licensure or certification required.

Responsibilities

Receive and analyze legal requests for information, including subpoenas, statutory requests, and deposition requests, and distribute or respond to them accordingly.
Draft legal and business correspondence.
Use critical judgment and analytical skills to assess and triage complex legal requests that require support from internal or external legal counsel.
Work with organizational personnel and outside legal service providers to manage and respond to legal support requests.
Interact with state and federal agencies requesting information through legal processes.
Use computer tools and technologies to manage documents, data, and information; maintain the Risk Management subpoena database for tracking legal requests and responses.
Complete work assignments independently using knowledge of legal document management.
Maintain confidentiality of sensitive employee and physician information and protected health information as required by state and federal law.
Maintain reasonably regular and punctual attendance consistent with Orlando Health policies and applicable standards.
Comply with Orlando Health policies and procedures.
Establish and maintain cooperative relationships with team members, physicians, and attorneys.
Cross-train in the department’s operational claims support processes.