Insurance Paralegal (Fully Remote)

Position Description: Who We Are
NIP Group www.nipgroup.com is a rapidly growing insurance service provider of specialty programs for commercial insurance brokers and carriers providing underwriting, distribution, product management, administration, and risk management services primarily by acting as a managing underwriter (MGA) and a Reciprocal Services Manager (RSM).
Our culture is one that empowers and encourages employees to be innovative, collaborative, and forward-thinking. If you are interested in being a part of a growing, entrepreneurial spirited organization, wed love to hear from you!

We have an exciting opportunity for an Insurance Paralegal to join our team, responsibilities include:

1. Administrative:

• Receive new claims intake information.
• Set up new files in claim system.
• Organize documents in claim file repository.
• Reformat and organize claim data reports.
• Schedule claims meetings, including organizing and transmitting documents to meeting participants.
• Receive and resolve incoming claim related inquiries.
• Assist Finance department in resolving claim payment transaction inquiries.
• Support scheduling and data transfer relating to reinsurance audits.
• Receive and process letters for mailing.
• Electronically file insurance documents via SERFF system.
• Prepare and send file closure documents to state (DOBI and BME) and national (NPDB) agencies.
• Enter data to support system file closure process.

1. Claim Handling:

• Discuss relevant claim with member physician.
• Receive and review relevant pleadings, medical records, and other investigative documents.
• Interview physician members with claims to determine liability, causation, and damages as applicable to each claim.
• Review and evaluate insurance contract wording and coverage for each claim.
• Discuss claim with appointed panel counsel and establish a comprehensive investigative and litigation management strategy for each claim.
• Manage claims within preexisting litigation protocols and practices.
• Recommend reserves and investigative strategies.
• Enforce litigation guidelines and strategies as cases require.
• Conduct limited legal and other research on medical/legal issues that affect the Department or Company.
• Adhere to the Conventus Claims Guidelines document as it relates to claims handling.
• Assist in statistical reporting and generate claims and loss reports, as required.
• Attend Claims Committee meetings, as assigned, and assist in preparing Committee reports and documents, as warranted.

1. General:

• Act as a resource and consultant to other departmental personnel for claim and other risk exposure issues.
• Assist in development and publication of newsletters and related claims department materials.
• Collaborate to improve effectiveness, efficiency, and teamwork of claim department.
• Other duties as assigned.