Description:
This position can be performed on a fully remote basis and reports to the EPLI Project Manager.
Key Responsibilities
Working 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 Appeals
- Develop a thorough understanding of each insurance company’s Defense Counsel Billing Guidelines.
- Review, assess, and research insurance billing deductions using matter files and Defense Counsel Billing Guidelines to determine appealability.
- Draft 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 file.
- Partner with the Billing and Collections team to timely submit the appeals responses to the insurance companies.
- Develop and implement strategies to improve Guidelines-compliant entries and reduce reductions.
- Monitor the outcomes of submitted appeals to fortify and improve subsequent draft responses.
Operational Strategy & Reporting
- Work 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 entries.
- Provide reports to leadership regarding appeal results, staffing needs, and other information as needed.
Interdepartmental Collaboration
- Collaborate 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 outcomes.
Qualifications
Required
- Education & Experience: Bachelor’s degree and at least 5 years of experience in legal bill review or insurance defense work, including prior experience as an attorney or paralegal at a large law firm or major insurance company.
- Technical Expertise: Deep understanding of defense counsel activities, legal terminology, and insurance company Defense Counsel Billing Guidelines; proficiency in legal billing software (BillBlast, Aderant), eBilling vendors (Legal Tracker, Tymetrix 360), and Microsoft Office applications (Word, Outlook, PowerPoint, Excel).
- Communication & Interpersonal Skills: Exceptional written, verbal, and interpersonal communication skills with a proven ability to build effective working relationships with internal and external personnel at all levels.
- Core Competencies: Superior judgment, discretion, and commitment to handling sensitive, confidential matters professionally; highly organized with the ability to manage multiple projects, prioritize assignments, and work both independently and collaboratively.
- Flexibility: Ability and willingness to travel to firm offices and other events as needed.
Preferred
- Juris Doctor (JD) degree.
- Specific experience defending labor and employment matters.
- Familiarity with the operational structure of large, multi-office litigation law firms.
- Demonstrated commitment to diversity, equity, and inclusion in legal staffing.