Compliance Officer

Compliance Officer-The Rybak Firm PLLC, Bklyn, NY, seeks indiv to conduct compliance review & regulatory analysis on NY No-Fault insurance claims/litigations. Under guidance/supervisn of attorneys, audit & analyze claim files/billing records/med docs/ policy materials/litigatn submissns to eval compliance. Review claims to verify timely notice of claim/submissn of med bills/compliance w/verificatn protocols. Analyze billed med svcs/procedure codes compared w/fee scheds/ No-Fault regs/reimbursemnt standards. Review denials/verificatn requests/supportg docs for defects/timeliness/reg compliance.Examine records/docs to conform w/reqs on diagnostics/treatmnts billed for No-Faults. Investigate legal/reg research & audit claim issues/paymnt exposure/litigatn risk/compliance deficiencies. Review policies & claim docs for active coverage & benefits eligibility. Prep summaries/audit findings/compliance analyses for review/strategies. Monitor claim delays/doc filings/processing errors for compliance. Reqs: LLM or JD & 2 yrs exp as above or as a Legal Assoc or Paralegal in a rel positn involving legal research/factual investigatn/ review of legal or regulatory docs/procedural compliance & litigation support. $107,000/yr. Resumes:

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