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Insurance Defense Legal Bill Auditor & Appeal Response Specialist

San Diego, CA

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.

Benefits
  • Comprehensive medical, dental, and vision plans (some at no cost to the employee) 
  • 401K matching 
  • Paid parental leave 
  • Internal education and leadership development programs 
  • Internal diversity and inclusion programs, such as the Women’s Initiative and Young Professionals Initiative 
  • Firm-wide charitable giving program 
  • Numerous social and off-site events each year to enrich your relationships with your colleagues 
  • Employee Assistance Program through HealthAdvocate 
  • Access to Maven resources for new parents through Blue Shield 
 
Why Tyson & Mendes? 
We are one of the country’s fastest growing civil defense firms. We have steadily and successfully made our mark as a trailblazer in the legal ecosphere. We are a progressive, dynamic and diverse firm that prides ourselves in breaking the mold upheld by the “traditional” law firm. Here, you will discover an exceptionally smart, deeply talented team of trial lawyers who have continuously made a profound impact on the lives of literally hundreds of thousands of people. From Howell vs. Hamilton Meats, to our many trial wins, our promise is to provide unparalleled service and achieve exceptional results for our clients.
 
In addition to our outstanding legal work, we take an innovative approach to law firm management; we invest wholly in our employees. From our specialized internal training program on our proven defense methods, to clear paths to leadership and partnership, we provide the professional development resources and tools needed for attorneys to make significant advancements in their careers - all while building their own brands and becoming sought-after experts in their respective fields.
 
Click here to learn more about the Tyson & Mendes Office!
 
OK, now for the legal copy (we are a law firm, after all). It is Tyson & Mendes’ policy to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit-based factors. By the way, if you read all of this, congratulations – we can already tell your attention to detail is exceptional.
 
NOTICE TO APPLICANTS/EMPLOYEES OF TYSON & MENDES: Please take notice that the Firm collects certain information about you. For more information on the Firm’s policies, please refer to the document provided here.
 
Follow along with the firm on Twitter and LinkedIn, or visit www.tysonmendes.com.  
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Pay Range

$30 - $37 USD

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