Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction, Specialty Casualty, Velocity Small Business & Professional Liability.  We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

This position requires advanced paralegal skills and litigation billing expertise in a claim environment, specifically involving litigated or complex claims, compliance and controls, legal billing and accounting analysis.  This position is designed to assist the claims leadership and professionals with reporting of litigated matters, financial analysis, and invoice processing.  It will operate as a resource and collaborator with other claims team professionals, coverage counsel and claims leadership.

 

Duties may include, but may not be restricted to the following: 

• Provide supervisory and technical oversight and direction to the Litigation Support Specialist
• Create and maintain reporting of litigation, including accessing claim file notes, counsel reporting and court databases such as PACER to check status of litigation.
• Support and contribute to the legal budget and billing process, ensure the bill pay processes by Vela claims and in the legal billing system, Stuart Maue, run smoothly, and bills are paid without errors.
• Support and assist with the address of claims in “holding” status for final billing and closure, track SIR invoicing. This involves working with the legal team to obtain final documents and bills to ensure all billing is paid and information is posted to the file before closing out the claim.
• Maintain an active diary for a variety of reminders, such as status emails to counsel to ensure timely reporting and productive file inventory management.
• Assist in the address law firm appeals and rate inquiries.
• Maintain up-to-date, appropriate file documentation and written file notes to reflect a comprehensive explanation and detailed account of invoice processing, appeal address and payment processing.
• Assist with tracking of insured SIR spend, communication with insureds and vendors for a seamless process when the SIR is exhausted, and Vela assumes payments. Updating data prevents the insured from making an indemnity overpayment and provides an accurate account of where the SIR stands during the claim professional’s settlement discussions.
• Review monthly Medicare Query Reports and assist with updating pertinent file information required to correct errors to satisfying Medicare Reporting Requirements.
• Utilize ISO ClaimSearch to locate required PII (personal identifying information) for claimants and update in Parties Involved to assist with satisfying Medicare Reporting Requirements.
• Develop and maintain positive customer and vendor relationships and provide superior customer service, going above and beyond the expectations.
• Adhere to all statutory regulations, Unfair Claims Practices Acts, and Corporate Best Practices to assist in maintaining positive audit results.
• Be a full participant in a collaborative environment ensuring backup and support within the department to creating consistent workflow with reasonable workloads.
• Demonstrate flexibility and accountability as a member of the overall claims department.
• Other duties as assigned.

 

• Two (2) year College Degree, paralegal certification or commensurate experience and training preferred

• Minimum of seven years in a law firm or insurance company environment, 5 years with legal invoice preparation or review experience, claims handling or the equivalent.

 

Attributes and skills necessary for handling claims, including:

• Works independently and completes tasks without a high level of supervision
• Effective problem solving
• Positive demeanor and efficient in a fast-paced claims environment
• Strong organizational skills
• Strong writing and communication skills
• Ability to collaborate with and train others
• Proactive consideration of customer needs and concerns
• Ability to build collaborative working relationships within overall organization
• Ability to work on multiple projects or assignments
• Ability to develop file documentation skills
• Proficient navigation and use of claims software such as Guidewire’s Claims Center
• Proficient in Microsoft Word, strong Excel skills, SharePoint, Publisher, PowerPoint and Outlook
• Proficient in legal billing systems such as Bottomline’s Legal eXchange, Stuart Maue or other software
• Ability to travel as required.
• Other skills as requested.

We do not accept any unsolicited resumes from external recruiting firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes:

Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

This role is eligible to participate in the annual discretionary bonus program.

Sponsorship not Offered for this Role