Insurance Appeals Specialist

Fisher Phillips, LLP; United States; À distance; USD 66 000 - 80 000; Plein temps

Avantages offerts par ce poste

401(k) with profit sharing

Vacation and paid time off

Sick leave and holidays

Telehealth services

Résumé du poste

Fisher Phillips, LLP is seeking an Insurance Appeals Specialist to join our Legal Project Management Team. This fully remote role supports complex insurance defense billing reviews and appeals across the United States, with collaboration across Billing, Collections, and IT to improve outcomes.

The ideal candidate will have 5+ years in legal bill review, familiarity with Billing Guidelines, and experience with BillBlast/Aderant and eBilling vendors. JD preferred for advanced opportunities.

Qualifications

• Bachelor’s degree and at least 5 years of experience in legal bill review or insurance defense work.

Responsabilités

• Review and research Defense Counsel Billing Guidelines and determine appealability.

Connaissances

Legal bill review

Insurance defense work

Communication skills

Project management

Formation

Bachelor’s degree

Juris Doctor (JD)

Outils

BillBlast

Aderant

Legal Tracker

Tymetrix 360

Microsoft Word

Excel

PowerPoint

Description du poste

Fisher Phillips is a place where your ideas matter, your initiative is valued, and your work directly supports the success of employers navigating complex workplace challenges every day.

Our firm is building for the future: strengthening systems, investing in technology, and refining how we deliver exceptional client service. Professional staff here don’t just maintain processes – they help design better ones. If you’re forward-thinking, solutions-oriented, and eager to make a meaningful impact, you’ll find ample opportunity to shape how we work and how we grow.

Full-Time, Remote (Eligible in U.S. jurisdictions with an existing Fisher Phillips office)

Fisher Phillips, a premier international labor and employment law firm, is seeking an Insurance Appeals Specialist to join our Legal Project Management 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 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.
• 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.
• 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.

Compensation

This position can be performed on a fully remote basis from any location within the United States where Fisher Phillips currently maintains an established office. The hourly range for this position is $48.08 - $57.69. 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.

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).

Equal Opportunity Employer

Fisher 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.

Why Join Us

At Fisher Phillips, exceptional talent is the foundation of our success. Joining our team means collaborating in a professional, dynamic environment leveraging cutting-edge technology. Our leadership fosters professional growth and provides opportunities to challenge yourself.

Our comprehensive benefits include health, dental, and vision insurance, a 401(k) with profit sharing, 18 days of vacation, accrue 10 sick days each calendar year and 10 paid holidays per benefit year. Wellness programs and 24/7 telehealth services support your overall well-being. Visit www.fisherphillips.com to learn more.

Additional Notes

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 an AI tool to compare the skills and job titles from your resume with the job description, using machine learning or artificial intelligence based on their contextual meaning and relevancy. 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.

Relocation costs are not covered. We are only accepting direct applicants; third-party recruiters or agencies will not be considered. No phone inquiries, please.

Professional development is an integral part of how we operate. As our firm grows, so do the opportunities to expand your skills, take on new challenges, and build a career with long-term potential. You’ll work alongside talented colleagues in a dynamic environment that values practical thinking, innovation, and continuous improvement. We encourage new ideas and empower our professionals to help move the needle.

Because professional growth should be continuous, we offer:

Learning and Development at Every Stage

12 Months of Learning

A program providing staff with monthly access to curated courses and resources designed to strengthen skills, broaden knowledge, and support long-term career development.

For managers and emerging leaders, this ongoing program offers interactive workshops, tools, and practical guidance to strengthen leadership capabilities, support teams effectively, and make people-centered decisions.

Benefits that Support Your Whole Life

Our staff professionals play an important role in supporting our attorneys, clients, and firm operations.

Fisher Phillips Values

Our shared principles guide how we think, collaborate, and deliver, anchoring every decision in what’s right for our clients and each other.