Overview
AVP, Medical Bill Review Litigation Jobs in Providence, Rhode Island, USA at Zurich NA
AVP, Medical Bill Review Litigation
119916
Zurich Insurance is seeking an AVP for Medical Bill Review Litigation. This is a fully remote position, offering the flexibility of a home-based office.
In this role, you will be responsible for negotiating medical bill disputes, handling legal responses and filings, and representing Zurich at medical bill dispute hearings. Additionally, you will assist in training and mentoring Medical Bill Review team members, helping them research and handle medical bill disputes as well as responses.
Key Responsibilities:
Negotiate medical bill disputes, primarily handling Worker’s Compensation cases.
Handle legal responses and filings, ensuring timely and accurate submissions.
Represent Zurich in medical bill dispute hearings.
Review and assess complex claim documents, including complaints, answers, motions to dismiss, and other legal filings.
Maintain accurate and up-to-date claims documentation, ensuring compliance with best practices for high-complexity claims specific to your Line of Business.
Develop strategies for resolving complex claims, ensuring proper and timely reserving.
Work with external counsel and consultants to develop solutions for high-exposure claims that are financially sound and customer-centric.
Analyze medical bill disputes/litigation and outcomes to determine trends. Work with Medical Bill Review AVP to review and implement strategies.
Basic Qualifications:
Juris Doctor and 7 or more years of experience in the Legal area.
OR
JD and 7 or more years of legal practice experience in the insurance area.
OR
Must obtain and maintain required adjuster license(s).
Experience in insurance claims and the insurance legal and regulatory environment.
Preferred Qualifications:
Licensed Member of the Bar.
Extensive experience in and in-depth knowledge of Casualty claims management.
Highly detail-oriented with a strong focus on accuracy.
Excellent verbal, written, and interpersonal communication skills.
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled.
The proposed salary range for this position is $ – $ with short-term incentive bonus eligibility set at 20%.
As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time.
Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet
Remote Working:
Hybrid
Schedule:
Full Time
Employment Sponsorship Offered:
No
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Title: AVP, Medical Bill Review Litigation
Company: Zurich NA
Location: Providence, Rhode Island, USA
Category: Law/Legal, Healthcare
