Spezialist (m/w/d) Widerspruch und Klage
Core
Review and adjudicate appeals and lawsuits for policyholders in the statutory health insurance system, providing legal advice to internal leadership and staff.
Role type
Specialist in appeals and litigation (statutory health insurance)
Builds
Legal resolutions and case documentation for the KKH statutory health insurance fund
Domain
German statutory health insurance (GKV) and administrative law
Deliverable
client delivery
Required skills
Administrative law expertise, case analysis, negotiation, independent decision-making, MS Office proficiency
Preferred skills
Knowledge of GKV benefit areas (travel costs, medical aids, household help, outpatient care), experience in appeals/litigation handling
Responsibilities
Advise leadership and staff on legal questions regarding appeals and lawsuits; Analyze complex cases to identify key legal and administrative issues; Represent the fund in negotiations with social courts; Communicate with external lawyers, courts, and other institutions
Seniority
Mid-level specialist