AVP, Medical Bill Review Litigation

Zurich Insurance is seeking an. 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:

• Negotiation skills handling primarily 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
• Negotiation experience
• Customer service experience
• Microsoft Office experience.

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. For more information about our Total Rewards, please click here. Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. 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 $130,000.00 - $213,000.00 with short-term incentive bonus eligibility set at 20%.

As an insurance company, Zurich is subject to 18 U.S. Code § 1033.

As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time (https://www.zurichna.com/careers/faq).

A future with Zurich. What can go right when you apply at Zurich?

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more.

As a global company, 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. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers’ expectations. 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

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Schaumburg, AM - Remote Work (US)
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #LI-MD1 #LI-Director #LI-REMOTE