- 01-Dec-2016 to 15-Feb-2017 (MST)
- Missoula, MT, USA
- Full Time
- REPORTS TO: Manager of Administrative Procedures LOCATION: Missoula FLSA STATUS: Non-Exempt
The Plan Document and Appeals Supervisor is responsible for providing support to the Manager of Administrative Procedures and VP and General Counsel under the direction of the Manager of Administrative Procedures and/or General Counsel. Primary responsibilities include direct day to day supervision and oversight of drafting and finalizing plan documents and amendments and appeal reviews.
The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position.
ESSENTIAL JOB FUNCTIONS:
Essential job functions include the following. Other functions may be assigned as business conditions change.
Direct oversight of performing appeals review, research and drafting responses.
• Answers external and internal inquiries pertaining to appeals.
• Direct oversight, including participation in quality control of plan documents for each client group under the direction of the Manager of Administrative Procedures. Includes supervision of each client's individual benefit designs, exclusions, and eligibility criteria, etc., into the standard plan documents and SPDs as directed.
Over sight and supervision of production of plan amendments to current plan documents, SPDs, etc., as directed.
• Assists with the compilation of amendments and regulatory developments to accumulate into new plan document as needed or requested.
• Contributes to the daily workflow with regular and punctual attendance.
Assists with preparing certain policy and procedure drafts.
Other duties as assigned.
NON-ESSENTIAL JOB FUNCTIONS:
• Performs related or other assigned duties as required or directed, including but not limited to legal research and contract drafting.
Supervision and oversight duties as described above.
PHYSICAL WORKING CONDITIONS:
Physical requirements are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sitting 90% Reaching Some
Standing 5% Manual Dexterity Medium
Walking 5% Telephone Yes
Kneeling Some Computer Screen High (visual acuity corrected to 20/30)
Bending Some Lifting up to 20 lbs.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Education: Para legal degree and certification
Certification(s) Required: Paralegal.
Minimum Experience: Minimum of 5 years experience as a working paralegal in a law office or corporate counsel environment, with preference to those with employee benefits experience. Previous document preparation and technical writing experience is preferred. Prior experience with ERISA self funded claims and appeals procedures extremely useful .
Excellent oral and written communication skills required.
Strong knowledge and abilities with Westlaw and other legal research data bases.
PC skills, including Windows, Corel WordPerfect, Word, Excel and Adobe Acrobat. Must be able to adapt to software changes as they occur.
Ability to learn all functions of the claims processing software program as is necessary for report generation and adapt to software changes as they occur.
Typing speed of 75 wpm required.
Knowledge of legal and medical terminology.
Ability to enter data with accuracy and precision.
Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents and regulations.
Proofreading and editing skills.
Ability to prioritize work assignments and meet deadlines.
Ability to take initiative.
High level of interpersonal skills to work effectively with others.
Ability to organize and recall large amounts of information including interactions with employees, agents, plan participants and clients.
Ability to project a professional image and positive attitude in any work environment.
Ability to comply with privacy and confidentiality standards.
Ability to analyze and solve problems with professionalism and patience, and to exercise good judgment when making decisions.
Ability to operate typical office equipment.
Working knowledge of general office procedures.
*Allegiance Benefit Plan Management is an Equal Opportunity Employer.
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