LANGUAGE SKILLS:

Draft and revise boilerplate contracts to comply with state and Federal laws according to how business is being conducted at a particular company and style.

Draft or revise contract language that reflects the presumptions of the business executives, sales force, actuaries, statutory benefits and case law.

Draft customized contracts and schedules pursuant to large account group sales and special relationships, often reflecting the content of competitors products, but according your company's requirements.

Draft or revise consumer and statutory disclosure documents in accordance with Flesch score minimum readability requirements.

Interpret and reduce regulatory ideas or legal concepts and instructions in to concise written instructions and mechanical or electronic forms to be completed by lay persons.

Prepare state filing of documents pursuant to regulatory requirements, and follow through on documentation in anticipation of the periodic audits by state, quality and federal authorities.

Negotiate with state agency regulators regarding the expression of language in compliance with laws and regulations.

Review contracts and set-up office procedures to protect the contracts and reduce liabilities.

Develop and deliver lecture presentations to company employees to explain the law and to summarize the changes and illustrate the differences, as well as project changes to work product and how to implement the changes.

Be familiar with the detailed operations of company contracts and structure in order to respond effectively and quickly to staff inquiries.

Forensic argumentation skills to defend the company against unwarranted claims.

Ability to modulate voice in accordance with that which will achieve a desired effect/affect and outcome when speaking with employees, claimants, regulators and others.

Must be able to convert financial or actuarial/underwriting and procedural statements and goals in to written descriptions and language of a style and type associated with benefit coverage documents and their standards of writing.

Must be able to participate and contribute to the drafting of the annual report.

Must be able to calculate Flesch scores and algebra to develop guidance as to how to re-write disclosure materials.

Ability to set-up integrated multi-part paper/contract systems.

Ability to organize and schedule work load to meet changing priorities and deadlines.

Experience in developing methods and procedures to track forms and their state statutory variations in multiple jurisdictions.

Identify and be able to ask concise critical questions.

Listen to employee's questions about a problem they have encountered, probe the facts and circumstances, decipher and narrow the legal question, and develop a reply or answer and strategy of implementation and execution.

Participate in future planning of company objectives and advise on the alternative means by which to achieve them in compliance with the law.

Intermediate between a department's project / activities in order to compromise desires and perceived needs while not compromising full compliance with the law.

Negotiate between the needs of the company and the regulatory agencies' obligation to regulate the business.

Read and redline documents for changes and make assessment of overall effect of change in a legal and business environment.

Monitor and identify changes in laws and regulations that effect existing contracts and revise as needed to comply with changes.

Learn principles of and be able to recall major portions of the relevant regulatory codes.

Speed read regulatory materials and be a quick study of complex legal concepts.

Must like libraries and computers, and know how to use them quickly and efficiently.

Good typing, dictation and computer skills.

Draft and style all documents in compliance with typographical and advertising laws and regulations.

Statistical sciences knowledge and skills to develop or review data reports from other departments prepared for submission to quality control regulators.

Develop and implement a file and codified record keeping system for filed forms and corporate records.

Ability to identify a proper business record / file in its form and substance.

Computer research skills, e.g. Lexis, West Law, NILS, HIAA, word processing and stylistic analysis, data base control of forms and use spreadsheets.

Telephone skills; make good use of the telephone as a resource.

Ability to recognize and respond to receipt of a legal document, subpoena, discovery request or lawsuit.

Ability to interprete and implement state and federal laws, regulations and legislative history as well as interpret, summerize and recommunicate them to lay persons on the staff (training/public presentation skills).

Analyze a claim for benefits, a medical file or grievance and law suits and prepare coverage opinion letters.

Ability to develop company policy based on legislative and regulatory changes.

Knowledge of the HCFA and state audit process.

Knowledgable of state corporations laws and regulations and related tax issues.

SUBSTANTIVE knowledge of current and prior, and ability to research: ERISA, COBRA, TEFRA, FMLA, ADA, MEDICARE, USERRA, NCQA, HCFA, labor codes, state insurance codes and regulations,

Develop relationships with peers to share and access information about work competitor's products.

Develop trust with and among staff employees so they will come to you with their work problems for you to solve or that you can redirect to be resolved before it becomes a liability or problem for the company.

Motivational skills to move staff to take action on behalf of the company to bring procedures in to compliance with laws and regulations as well as good business practices.

Ability to deflect employee interest to change procedures / contracts which will make their work load easier but which works against the company's legal interests.

Public relations skills to assess the reaction to any company actions as may be manifest in contracts, claims paying, grievance review practices or advertising copy and advise officers of the public perception and advise.

Ability to tailor explanations of the law to different levels of staff personnel reflecting differences in education and work interests.

Ability to objectively analyze claim facts regardless of the claimant's background or type of illness or ultimate prognosis, or financial impact on the company.

Ability to detach one's self-interests from office politics when considering the company's best interests.