Claims Specialist

Position Summary:

 

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

 

ORLANDO HEALTH - BENEFITS & PERKS:

All Inclusive Benefits (start day one)

• Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Forbes Recognizes Orlando Health as a Best-In-State Employer

• Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.

Employee-centric

• Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare

Position Summary

The Claims Specialist serves the organization as both a legal and business specialist, focusing on support of claims management and other legal related matters. The Claims Specialist will be responsible for performing a variety of law-related tasks including, but not limited to processing and distributing subpoenas and other legal documents, responding to legal requests for information, and scheduling of depositions of employed physicians and team members.

Responsibilities:

Essential Functions

Receive and analyze legal requests for information in multiple forms including, but not limited to subpoenas, statutory requests and/or requests for depositions and distribute or respond accordingly.
Draft legal and business correspondence.
Exercise critical judgment and analytical skills to assess and triage complex legal requests requiring legal support from internal or external legal counsel.
Work directly with organizational personnel and outside legal service providers to effectively manage and respond to all legal support requests.
Interact with state and federal agencies requesting information through legal processes.
Be fluent with computer tools and technologies used to manage documents, data and information. Maintains Risk Management subpoena data base for tracking legal requests and responses.
Complete work assignments independently, applying knowledge of legal document management.
Maintains confidentiality of sensitive employee and physician information as well as protected health information as required by state and federal law
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
Maintains compliance with all Orlando Health policies and procedures.

 

Other Related Functions

Establishes and maintains cooperative relationships with all team members, physicians and attorneys.
Cross-trained in operational claims support processes of the department.

Qualifications:

Education/Training

Associate’s Degree in health related field, paralegal studies or business. High school graduate or equivalent with four (4) years of related healthcare, paralegal or business experience may be substituted for Associate’s Degree, in addition to the requirements listed below.

 

Licensure/Certification

None

 

Experience

Two (2) years of legal or claims support, or other closely-related work experience is required.