Administrative Law Judges, Adjudicators, and Hearing Officers

Job Description

As an Administrative Law Judge, Adjudicator, or Hearing Officer, you will be responsible for reviewing and making determinations on insurance claims in a fair and impartial manner. Collaborating with a dynamic team, you will ensure that all decisions comply with legal standards while providing exceptional service to claimants.

Responsibilities

• Conduct impartial hearings regarding insurance claims disputes.
• Review documentation, including medical records and legal reports.
• Analyze factual and legal issues in claims to determine outcomes.
• Collaborate with multidisciplinary teams to enhance claims processes.
• Provide written summaries and reports of findings to stakeholders.
• Maintain up-to-date knowledge of industry best practices and legal changes.
• Demonstrate strong communication and negotiation skills with stakeholders.
• Support continuous improvement initiatives within the claims department.

Requirements

Education

• Juris Doctor (JD) from an accredited law school
• Additional certifications in mediation or arbitration preferred

Experience

• 5+ years of experience specifically in insurance law or adjudication

Technical Skills

• Insurance Law Knowledge
• Dispute Resolution

Soft Skills

• Negotiation
• Time Management

Certifications

• Mediation Certification
• Insurance Adjuster License

Languages

• English: Fluent

Advantageous

• Experience with appellate procedures: Background in handling appeals and reviewing past decisions.
• Language proficiency in Spanish: Ability to communicate effectively in both English and Spanish.

Benefits

• Comprehensive healthcare benefits
• 401(k) plan with generous matching contributions
• Paid vacation and personal days
• Opportunities for continuing education and training

Company Culture

• Customer Focus: Our commitment to exceptional service drives our decisions and policies.
• Continuous Improvement: We encourage feedback and seek ways to enhance our processes and outcomes.
• Professional Growth: We provide paths for advancement and training for our employees.