Insurance Appeals Specialist

(Full-time, Remote)Fisher Phillips, a premier international labor and employment law firm, is seeking an Insurance Appeals Specialist to join our Legal Project Management Team or Billing and Collections Team. This role is responsible for managing, researching, interpreting, and drafting timely and Billing Guideline-compliant responses to deductions taken by insurance companies on defense counsel invoices.The successful candidate will have experience with employment law, legal bill review, a strong understanding of insurance Defense Counsel Billing Guidelines, and the ability to professionally communicate with attorneys to develop strong working relationships and credibility with firm management, leaders, attorneys, and administrative departments across the firm.This position can be performed on a fully remote basis and reports to the EPLI Project Manager.Key ResponsibilitiesWorking primarily with the Director of Legal Project Management, EPLI Project Manager, and Billing and Collections Team, this individual will manage the process for reviewing, researching, and preparing timely and successful appeal responses including, but not limited to, the following responsibilities:Oversight of EPLI AppealsDevelop a thorough understanding of each insurance company’s Defense Counsel Billing GuidelinesReview deductions taken from time entries on defense counsel bills and the reasoning or Guideline referenced as the reduction basis Apply legal and experiential knowledge to assess what reductions are appealable, and determine the best approach to a Guideline-compliant and successful responseResearch and analyze the matter file to identify what missing detail, explanation, context, or other information needed to draft a response that best supports the time billedDraft a persuasive, compliant, and well-written response to each reduction Communicate professionally, effectively, and proactively with impacted timekeepers regarding reduced entries that need additional detail that could not be obtained from the matter filePartner with the Billing and Collections team to timely submit the appeals responses to the insurance companiesDevelop and implement strategies to improve Guidelines-compliant entries and reduce reductionsMonitor the outcomes of submitted appeals to fortify and improve subsequent draft responsesOperational Strategy & ReportingWork with the Director of Legal Project Management and EPLI Project Manager to establish financial and other performance goals Track the outcomes of submitted appeals to determine the amount credited versus appealed and the number of successfully appealed time entriesProvide reports to leadership regarding appeal results, staffing needs, and other information as neededInterdepartmental CollaborationCollaborate with Legal Project Management, Knowledge Management, Billing and Collections, and Information Technology to implement AI or other technology solutions that create efficiencies or otherwise improve outcomesKnowledge, Skills, And AbilitiesDeep understanding of defense counsel activities and legal terminology Vast knowledge of insurance company Defense Counsel Billing GuidelinesKnowledge of legal billing software such as BillBlast and Aderant, and eBilling vendors such as Legal Tracker and Tymetrix 360.Familiarity with the structure of large multi-office litigation law firmsCommitment to diversity, equity, and inclusion in legal staffingAbility to handle sensitive matters confidentially and with professionalismExcellent interpersonal skills, and an ability to establish and maintain effective working relationships with internal and external personnel at all levelsExcellent written and verbal communication skills and attention to detailAbility to work independently and as part of a teamAbility to delegate, manage resources, and effectively get work done through othersAbility to think creatively and to innovate in a fast-paced environment subject to change, new technologies, and market disruptionsHighly organized with the ability to effectively manage various projects and prioritize multiple assignments to meet deadlinesMust possess superior judgment and discretion and be able to protect and maintain sensitive and highly confidential informationAbility and flexibility to travel to the firm’s offices and other events, as needed.Education, Experience & Certification RequirementsBachelor’s degree required; JD strongly preferred.Experience as an attorney or paralegal at a large law firm or major insurance company5+ years of experience in legal bill review or insurance defense workPreference for experience with defense of labor and employment mattersExceptional communication, relationship-building, and organizational skillsProficiency in Microsoft Office applications, including Word, Outlook, PowerPoint, and Excel in order to independently produce quality communications, track results, and create presentationsCompensationThe hourly range for this position is $48.08 - $67.31. Actual base pay within this range will be determined by several components, including but not limited to, location, relevant experience, internal equity, skills, qualifications, and other job-related factors permitted by law.Why Join UsAt Fisher Phillips, we recognize that exceptional talent is the foundation of our success, enabling us to deliver outstanding service to both our internal and external clients. Joining our team means collaborating in a professional yet dynamic environment that leverages cutting-edge technology. Our leadership is committed to fostering your professional growth and providing opportunities to challenge yourself in meaningful ways.We believe in rewarding talent with more than just a competitive salary. Our comprehensive benefits package includes health, dental, and vision insurance, a 401(k) with profit sharing, 15 days of paid time off (which includes sick leave if applicable according to state law), and 10 paid holidays per benefit year.Your well-being is our priority. We offer 24/7 telehealth services, a variety of wellness programs, and additional optional benefits designed to support your unique lifestyle. At Fisher Phillips, you’ll find a workplace that values your health, happiness, and continued professional development. To learn more about our firm, visit us at www.fisherphillips.com.Equal Opportunity EmployerFisher Phillips is committed to providing equal employment opportunities to all employees and applicants, regardless of race, ethnicity, religion, sex (including related medical conditions), gender, sexual orientation, national origin, citizenship status, veteran status, marital status, pregnancy, age, disability, or any other protected status, in compliance with all applicable laws.The statements in this position description are not necessarily all-inclusive. Additional duties and responsibilities may be assigned, and requirements may vary from time to time.As part of our initial screening process, we may use AI to compare the skills and job titles from your resume with the job description. This is NOT an Automated Employment Decision Tool (AEDT) and will not be used to make selection decisions. It is only used (occasionally) in addition to manual screening.If you are a resident of New York City and would like to request an alternative evaluation process or reasonable accommodation, please email staffrecruiting@fisherphillips.com.Qualified applications with arrest or conviction records will be considered for employment in accordance with both the FCO and the California Fair Chance Act (FCA).Relocation costs are not covered. We are only accepting direct applicants; third-party recruiters or agencies will not be considered. No phone inquiries, please.