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Years of Experience
Date Last Verified
Legal Bill Auditor (Litigation Paralegal) Duties: Reviewing, analyzing, and processing on-line legal bills submitted by defense law firms to determine compliance with Company billing guidelines. Confers with claims examiners, law firm personnel and other vendors, when necessary, to identify and/or resolve billing issues and/or inconsistencies with Billing Guidelines. Through the review process, identifies firm billing trends to aid in evaluating firm performance. Reviews, analyzes and adjusts complex and/or large dollar manual and e-bill invoices/appeals submitted by counsel in order to identify billing issues and inconsistencies with the Nationwide Company Billing Guidelines, hereinafter referred to as "Billing Guidelines." Confers with claims examiners, law firm personnel and other vendors, when necessary, to identify and/or resolve billing issues and/or inconsistencies with Billing Guidelines. Reviews law firm work product, when necessary, to ensure compliance with Billing Guidelines. Through the review process, effectively provides invoices/appeals review results, and educational information on Guideline compliance, to counsel via e-billing tool or manual recap. Seeks advice on legally complex and/or large dollar invoices, when necessary, from Senior Legal Bill Auditor, Legal Bill Specialist, supervisor and/or manager. Makes appropriate adjustments to invoices/appeals based on identification of billed non-compliance during the review process. Generates e-bill and/or manual review results of invoices/appeals to counsel with explanation of the adjustment of charges based on identified non-compliance. Completed invoices/appeals are routed to next level approvers and check processing via e-billing workflows and/or manual process. Effectively communicates the rationale supporting the adjustment in charges to counsel via invoice/appeal review results, email and/or oral communications. Seeks additional information from counsel, claims examiners, Senior Legal Bill Auditor, Legal Bill Specialist, supervisor and/or manager as necessary to ensure timely processing of invoices/appeals. When necessary, provides guidance and training to peers on e-billing tools, manual review process, unit processes, review philosophy in support of the Nationwide Company Billing Guidelines and Enterprise systems. Through the review process, identifies billing trends and proactively elevates issues to supervisor and/or manager. Identifies technical anomalies and/or functionality issues of e-billing tool and/or other Enterprise systems and proactively elevate issues to supervisor and/or manager. Manage special projects and/or processes as assigned by supervisor and/or manager. Meet or exceed productivity requirements as defined by manager. Performs other related duties as assigned.
Qualification and Experience
Qualifications: High school diploma or equivalent required. College degree in insurance, legal or related fields preferred. Paralegal Certificate/Degree, Law Degree, CPCU, CFA, AIAF, AIT, AIC, SCLA, ASLI designations a plus. Paralegal or insurance certifications/designations will be seen as a plus. 3-5 years law firm litigation experience. Prior legal bill auditing, claims handling, and/or law firm billing experience a plus. Exhibit clear, concise written and verbal communication skills; rational, high level thinking abilities and analytical skills; and elements of confidentiality, persuasion and diplomacy that are required in dealing with agents, insured’s, our associates and our vendor law firms. Above average abilities with MS Suite (Excel, PowerPoint, and Word) and other PC applications. 1-2 years prior experience as a Legal Bill Auditor or four years prior insurance industry experience that includes two years experience handling or auditing legal billing or four years prior legal industry experience that includes litigation paralegal/attorney experience performing and recording billable tasks. Prior experience dealing with outside vendors is desirable. Knowledge of claims adjudication, and invoicing practices in the legal industry preferred. Knowledge of law firm practices, litigation processes and familiarity with work product, including but not limited to local rules of civil procedure and professional rules of ethical conduct, and knowledge of time and billing practices and software preferred. Strong computer keyboard and literacy skills are required. Basic math skills are required to verify that counsel service invoices have been correctly computed and/or to recognize system issues resulting in mathematical errors. Audit/analytical skills are necessary to accurately identify billing issues and inconsistencies with the Company Billing Guidelines. Excellent verbal and written communication skills are required.
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