Insurance Appeals Specialist

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.

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.

• Work Schedule: 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.

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.

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, 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.

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.

We believe in rewarding talent with more than just a competitive salary. Subject to policy and plan requirements, our available comprehensive benefits package includes health, dental, and vision insurance, a 401(k) with profit sharing, sick leave per Seattle law, and 15 days of paid time off 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.

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.

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.

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