Summary of Position
• Lead responsible for responding to regulatory complaints received for ConnectiCare businesses, including WellSpark and CMI.
• Lead role responsible for application, renewal and regulatory/state filings for in Connecticut businesses as required.
• Perform independent research to assist in issue clarification and resolution.
• Provide technical, paralegal, and administrative support to the Legal department.
Principal Accountabilities
• Receive and review Attorney General, Office of Patient Protection, Office of Healthcare Advocate, and Insurance
Department complaints and external appeals received for ConnectiCare.
• Research and respond to all complaints received by engaging appropriate business partners internally and externally as
necessary with vendor partners.
• Monitor Insurance Department Box; set up all complaint files, including External Appeals; log in/out complaints.
• Prepare and submit documentation in external appeals.
• Complete and file application(s) for appropriate licenses renewals to operate specific businesses (Annual/biennial
Utilization Review, Accident & Health, Producer, TPA Registration).
• Complete annual regulatory filings and surveys in support of those licenses including CT and MA Holding Company Act
Forms B and C, CT Market Conduct UR Survey; MA Office of Patient Protection Annual Healthplan Report.
• Prepare and file all required documents with the Secretary of State for each state in which the ConnectiCare
companies are registered.
• Assist with the CT Consumer Report Card Survey.
• Perform business/corporate legal support responsibilities, including preparing necessary documents to amend and/or
restate articles of incorporation and/or bylaws, regulatory and governmental filings, insurance licensure renewals,
annual report filings, corporate book filings and governance documentation.
• Maintain and file applications for registered federal and state trademarks for ConnectiCare and affiliates, including
periodic research on potential infringements.
• Research and respond to liens, levies and records requests.
• Compile and index documents for ConnectiCare and affiliates litigation matters.
• Manage activities to ensure physical files are archived per compliance schedule and sent offsite.
• Build digital archives and catalogue for audit purposes.
• Receive and respond to emails, calls and inquiries to legal questions.
• Perform other related responsibilities/tasks as directed or required
Education, Training, Licenses, Certifications
• Bachelor’s Degree required.
• Paralegal Certificate preferred.
Relevant Work Experience, Knowledge, Skills, and Abilities
• 3 – 5+ years of relevant, professional work experience. (R)
• Additional experience/specialized training may be considered in lieu of educational requirements. (R)
• Ability to perform legal research; ability to interpret legal information. (R)
• Understanding of state insurance and corporate statutes and regulations. (R)
• Understanding of federal HMO regulations. (R).
• Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, etc.). (R)
• Excellent organizational and prioritization skills; ability to complete multiple tasks with competing deadlines/priorities. (R)
• Ability to perform multiple tasks at any given time. (R)
• Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences. (R)
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