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Description

Job Title

Insurance Operations Assistant

Location

Hybrid (Manchester, NH or Rockville Centre, NY) or Remote

Summary

Assists members of the Insurance Operations Department by completing a wide variety of assignments that involve technical complexity. Demonstrates a solid understanding of procedures and ability to produce timely high-quality work.

Essential Functions

• Collects, analyzes, and maintains data relating to specific accounts and claim trends.
• Conducts day-to-day processing activities, including data entry, notes, entering incident details, creating exposures, and associated tasks to assist the Claims Analysts.
• Reviews and maintains materials received or produced by Insurance Operations department, including legal pleadings, billings and invoices.
• Initiates and documents claim investigations.
  • Drafts and sends Request for Information letters
  • Compiles a detailed Investigation Summary
• Drafts correspondence, including coverage analysis letters.
  • Uses relevant insurance policies to select appropriate language
  • Provides Claims Analyst with a substantive letter documenting the coverage position
• Organizes lengthy policies for Claims Analyst.
  • Separates underwriting materials
  • Ensures all listed policy forms are present in the policy
  • Searches for/locates and missing policy forms
• Drafts claim evaluation summaries for Claims Analysts.
• Assists in setting up meetings for Insurance Operations Department Associates as requested.
• Assists in the preparation of weekly, monthly, and quarterly reports for Claims Management team, affiliate companies, and parent company.
• Completes requested research - Corporate, Case Law, reports, and searches.
• Assists in collecting and reviewing materials related to implicated insurance coverage for specific accounts.
• Gathers, analyzes and organizes information, legal pleadings, discovery and other documents.
• Oversees collection of records and other information for dissemination to outside counsel.
• Performs various aspects of the litigation process in compliance with standard procedures. At the outset of the litigation process, the Insurance Operations Assistant a) manages service of process, b) administers conflict checks and retention of counsel, c) manages legal documents including contracts and settlement agreements, and d) conducts searches for all relevant documents to be sent to outside counsel.
• Consults, assists and coordinates with Litigation Managers and outside coverage counsel on all aspects of case management including responding to all discovery requests (verbal and written), third party inquires and subpoenas and overseeing discovery responses, updates, and deadlines.
• Establishes and maintains effective working relationships, both internally and externally, to ensure compliance with case deadlines.
• Acts as project manager to track tasks/assignments, persons responsible and target deadlines to ensure timely completion of litigation activity and proper resource allocation.
• Reviews complaints to identify pertinent causes of action and document categories to preserve.
• Maintains assigned litigation files and databases with appropriate diary controls.
• Reviews court orders and discovery requests received during litigation and coordinates the collection of data within established deadlines.
• Assists with legal research including online research tools (WestLaw, PACER)
• Assists with e discovery searches, including searches of emails, internal network drives, and applications.
• Prepares status reports for Management and assists with audits.
• Prepares draft reports for Litigation Managers, including draft reinsurance reports with financials.
• Supports Reinsurance with a variety of tasks, including, but not limited to, applying cash.
• Consistently deliver superior customer service to both internal and external business partners.
• Serve on committees and special projects as assigned.
• Empower self and teammates to continuously improve RiverStone's business processes/systems and develops and escalates ideas and solutions.
• Empower self to make decisions within job descriptions and authority. Seek guidance where appropriate.
• Develop creative ideas and solutions to real time business problems and /or business opportunities; Take reasonable, calculated risks even if failure is possible.
• Seek continuous development by identifying areas for growth and improvement. Work with the continuous improvement team to implement process and technical improvements.
• Understand Key Performance Indicators and manages towards those priorities.
• Communicate with both internal and external customers on a regular basis.
• Consistently delivers superior customer service to both internal and external business partners.

Required Skills

• Excellent writing, verbal and interpersonal communications skills.
• Excellent professional judgment.
• Analytical Skills.
• Adept at handling multiple assignments.
• Computer skills in Word, Excel, Access and PowerPoint preferred.
• Able to work accurately with financial data.
• Able to rapidly learn complex procedures and company guidelines.
• Exhibits flexibility in assisting managers in various initiatives.
• Exhibits a positive attitude.
• Strong ability to set priorities and work under pressure to meet time deadlines.
• Demonstrated self-starter who is detail oriented, analytical, has strong organizational skills and the ability to work independently, but is a dedicated member of the team.
• Must maintain a high degree of confidentiality and be able to interface effectively with attorneys and other professionals.
• Customer service oriented with the ability for developing long lasting relationships with internal and external business partners.
• Complete familiarity with the attorney/client privilege, work product doctrine and other doctrines/privileges that protect attorney client material from disclosure as well as strategies to ensure protections are in place and maintained.

Organizational

• Demonstrates alignment with RiverStone's Commitments.
• Prioritizes and organizes work in self-directed manner.
• Attains and maintains knowledge of assigned department.
• Performs other duties as required, including supporting and coordinating with other department colleagues.

Experience

• A minimum of 1-year business related experience required.
• Prior work experience in an insurance claims department or law firm and/or experience as a litigation paralegal
• Customer Service experience preferred.

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Required Education

Associate degree, Paralegal Certification from an ABA approved program or relevant work experience.

Preferred Education or Certification

Bachelor's Degree is preferred.

Supervisory Role

N/A

Travel

Minimal to moderate, based upon business needs.

Work Environment / Physical Demands

This position operates in a professional cubicle based collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and position uses standard equipment such as phones, computers, copiers/printers and filing cabinets. Noise level is moderate. While this is a largely sedentary role, the employee is regularly required to talk or hear; stand; walk; bend; use hands to handle or feel; and reach with hands and arms. On occasion the individual must be able to lift and transport boxes weighing up to 30 pounds.

Other Duties (Disclaimer Statement)

RiverStone retains the right to change or assign other duties to this position as needed, OR

Other duties or responsibilities may change or be assigned as needed.

Core Competencies

32.) Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.

51.) Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn't stop at the first answers.

52.) Process Management: Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others can't; can simplify complex processes; gets more out of fewer resources.

56.) Sizing Up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

22.) Ethics and Values: Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches.

15.) Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.

Diversity, Equity, Inclusion & Belonging

RiverStone Resources, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.