Insurance Defense Legal Bill Auditor & Appeal Response Specialist

Join Tyson & Mendes: Leading the Charge in Insurance Defense and Trial Advocacy

At Tyson & Mendes, we're not just another law firm; we're on a mission to become the best national insurance defense and go-to trial firm. We're proud to lead the industry with our outstanding legal results and innovative strategies, including our commitment to stopping Nuclear Verdicts®. Our culture of excellence sets us apart, creating a dynamic, creative environment driven by continuous improvement.

Why Join Us?

Be Part of Excellence: At Tyson & Mendes, you'll be part of a team that consistently sets the industry standard. We are dedicated to nurturing a culture of continuous learning, offering unparalleled opportunities for education, mentorship, professional development, and long-term career growth. Our inclusive and transparent leadership ensures that all team member’s strengths and talents are recognized and celebrated.

Growth and Stability: We are dedicated to achieving sustainable growth and aim to significantly expand our team over the next few years. Our focus includes increasing our workforce, while also prioritizing a supportive and stable work environment to maintain high retention rates among our team members.

Diversity, Equity, and Inclusion: Tyson & Mendes believes that a diverse workforce is integral to our success and the success of our clients. We are dedicated to increasing diversity, equity, and inclusion across our firm, aiming to surpass the national average of diversity in the legal field.

Job Location Flexibility

At our company, we prioritize flexibility to help you work where and how you work best. We offer a variety of work location options to suit your preferences. Whether you prefer to work remotely (available for in-person appearances), enjoy a hybrid approach by splitting your time between remote work and our office, or thrive in a dedicated in-office environment, we have a solution that fits your needs. Our goal is to support your unique work style and help you succeed in your role.

Who We're Looking For…

We are currently looking for an Insurance Defense Legal Bill Auditor & Appeal Response Specialist to join our team.

The bill auditor will review, and audit law firm generated prebills to ensure compliance with insurance carriers’ guidelines, prior to submission for carrier review. The auditor will work closely with timekeepers, including paralegals and lawyers, to educate them on individual carrier guidelines.

Responsibilities:

• Review, analyze, and audit law firm generated prebills for compliance with the insurance carriers’ guidelines through the utilization of an electronic billing system.
• Conduct line by line review of invoices to determine accuracy, reasonableness, and compliance with carrier guidelines.
• Identify billing discrepancies based on knowledge of carrier guidelines, industry standards, and litigation history.
• Educate timekeepers accordingly regarding insurance carriers’ guidelines.
• Utilize and create reports to determine timekeeper performance trends.
• Identify firm billing trends and elevate to management.
• Review invoices flagged for deductions or disputes by clients.
• Work closely with attorneys and timekeepers to gather information for appeals, ensuring that all billing entries are substantiated and properly documented.
• Collaborate with the billing department to adjust invoices based on appeal outcomes and ensure final bills are accurate.
• Billing Compliance Email Triage and Prioritization.

Requirements:

• A minimum of 5 years’ experience as a litigation paralegal or equivalent experience, preferably in insurance defense or coverage litigation.
• A minimum of two years paralegal (or equivalent) law firm experience, preferably in insurance defense or coverage litigation.
• Bachelor’s Degree or equivalent combination of education and experience is beneficial.
• Experience reviewing, auditing, or revising billing entries in the insurance defense industry.
• Proficient working knowledge of Microsoft Excel, including creating and analyzing reports to identify billing trends and support audit findings.