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Paralegal – External Appeals & Consumer Investigations Agency: Department of Financial Services (DFS)
Location: Albany, NY (Accessible by bus; no on-site parking available)
Telecommuting: May be allowable upon discretion of the hiring manager. Position Overview The Department of Financial Services is seeking a highly organized Paralegal to evaluate External Appeal applications and investigate consumer complaints against regulated insurance companies. This role focuses on ensuring compliance with Insurance Law Article 49 and the Federal No Surprise Act. While DFS provides training on internal processes and applicable laws, candidates must possess a strong foundational knowledge of legal mandates and exceptional communication skills. Minimum Candidate Qualifications
Certification: Must possess a valid Paralegal Certificate.
Work Authorization: Must be eligible to work in New York State.
Reliability: Strong commitment to time and attendance is critical for this role.
Evaluate External Appeal applications for eligibility based on Insurance Law Article 49.
Screen requests for External Appeals in accordance with the Federal No Surprise Act, state regulations, and established protocols.
Request necessary information from appropriate parties to move cases forward.
Complaint Investigation & Resolution
Investigate complaints against regulated insurance companies by applying mandates in Insurance Law and specific policy provisions.
Research, process, and resolve consumer and provider complaints.
Communicate formal findings clearly once an investigation is complete.
Administrative Liaison & Case Management
Act as a primary liaison for administrative processes, maintaining professional verbal and written communication with consumers and representatives of financial entities.
Maintain updated, complete, and organized electronic case files.
Follow up on deliverables from internal stakeholders to ensure project timelines are met.
Handle high-volume correspondence (calls, emails, and letters) with internal and outside stakeholders.
Prepare detailed reports and other necessary documentation.
Required Skills & Abilities
Legal Aptitude: Proven ability to understand and apply complex legal mandates.
For more than thirty years, Penda Aiken, Inc. has committed itself to serving New York State, solidifying our position as a leading talent acquisition firm in the Northeast. Our team of industry experts collaborates closely with top-tier companies and exceptional candidates, providing personalized guidance to ensure the best possible results for everyone involved.
Partnering with Penda Aiken Inc. means positioning yourself for success. We provide access to competitive compensation, comprehensive benefits such as healthcare and dental coverage, a 401(k) plan, and paid time off (PTO), all delivered with personalized attention.
Penda Aiken, Inc. is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law.
Ready to take the next step in your career? Explore our job opportunities in the vibrant Albany, New York area! Known for its rich history, stunning architecture, and thriving arts scene, Albany offers endless opportunities for professional growth. Whether you're strolling through Washington Park, catching a show at The Egg, or indulging in local delicacies like chicken riggies or spiedies, Albany's charm and unique culture will make your career journey even more rewarding. Join us in this dynamic region and discover why Albany is not just a job location but a place to thrive!
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