Hybrid Legal Specialist (Medicare and Annuities) bei WCF Insurance

WCF Insurance legal department has an immediate opening for someone who can demonstrate the WCF values to join their team as a Legal Specialist (Medicare and Annuities). The Legal Specialist (Medicare and Annuities) provides and directs legal services in collaboration with claims adjusters and managers, focusing on all matters related to Medicare Secondary Payer (MSP) compliance. This role is critical in ensuring legal integrity and regulatory adherence in claims settlement processes. This is a full time, exempt position located in Sandy, Utah location and reports directly to the VP, Assistant General Counsel – Litigation. All employees of WCF Insurance are required to be in office unless specifically hired as a remote employee.

Qualifications

• Bachelor's degree in business or a related field

OR

• At least eight years of experience in legal and insurance practices
• Expert-level understanding of the Medicare Secondary Payer Act, workers' compensation laws, and insurance regulations
• Excellent leadership, interpersonal, communication, and presentation skills

Essential Job Functions

• Oversee the MSP compliance settlement objectives.
• Manage legal communication outflow and direction of legal services for settlement and MSP compliance to claims managers, adjusters, directors, outside counsel, and industry experts & vendors.
• Ensure adjusters and managers (including multi-state staff) follow all applicable laws, rules, regulations, and MSP compliance when settling claims.
• Research, interpret, and report legal and industry changes in MSP compliance.
• In coordination with the VP, manage department compliance with state and federal regulatory requirements regarding MSP.
• Provide training for claims and other departments regarding MSA.

Accountability & Requirements

• Continue to develop and expand the program and process concerning settlement of claims utilizing Medicare Set-asides (MSA).
• Serve as the liaison between legal and claims and is the direct contact for vendors and industry experts who provide services relating to MSP compliance.
• Oversee the legal department's MSP vendor relations.
• Excellent judgment and personal discretion.

WCF Insurance offers a comprehensive compensation package

• Medical, Dental, and Vision Insurance
• Company-paid Life Insurance
• 401(k) with a generous 6% employer match
• Employee Assistance Program (EAP)
• Paid time off to volunteer in the local community
• 4 weeks of vacation in the first year
• The minimum salary for this position starts at $77,920 annually. There is the ability to increase stating pay depending on experience, education, and location.

Internal Candidate Requirements

Internal applicants must:

• Have acceptable job performance
• Be in their current position for at least 6 months
• Notify their current supervisor upon applying

Our People

WCF is committed to providing an excellent work experience and cultivating an inclusive environment where anyone who embodies our values will thrive. This role must embody WCF's core values

• Do the right thing
• Be great at your job
• Help others succeed

These values support our mission of excellence.

Equal Opportunity Employer

WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.