Bill Review Analyst | Professional Liability | Remote

Bill Review Analyst | Professional Liability | Remote

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Primary Purpose

The Bill Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This position is responsible for reviewing and analyzing legal billing submissions to confirm alignment with internal billing guidelines, industry standards, and customary legal practices specific to healthcare litigation. The Analyst contributes to cost containment efforts and promotes transparency and consistency in legal spend management.

Essential Functions and Responsibilities

Reviews legal invoices associated with medical malpractice claims to verify accuracy, reasonableness, and adherence to established billing protocols. Assess billed activities for compliance with customary legal practices and industry norms, particularly within the context of complex healthcare litigation. Identifies and flags billing anomalies, including excessive charges, duplicative entries, or non-compensable time, and recommends appropriate adjustments. Applies a working knowledge of legal terminology, litigation phases, and case management processes to evaluate the appropriateness of billed services. Collaborates with internal claims professionals and external legal counsel to resolve billing discrepancies and ensure consistent application of billing standards. Maintains thorough documentation of invoice reviews, supporting audit readiness and contributing to internal reporting and analytics. Participates in the ongoing refinement of billing guidelines and review procedures to reflect evolving legal and industry standards. Provides insights and feedback to leadership regarding trends in legal spend, billing practices, and opportunities for process improvement.

Additional Functions and Responsibilities

Performs other duties as assigned. Travel as required.

Qualifications

Education & Licensing : Bachelor's degree from an accredited college or university preferred. Experience : Six (6) years of related experience in legal billing, insurance claims, or law firm operations, or equivalent combination of education and experience required. Familiarity with medical malpractice litigation and healthcare-related legal services is highly desirable. Paralegal experience helpful but not required. Skills & Knowledge : Demonstrates strong analytical skills and attention to detail in reviewing complex legal billing data. Possesses a solid understanding of medical malpractice litigation and legal billing practices. Communicates effectively with both internal stakeholders and external legal partners. Exhibits sound judgment and discretion in handling sensitive financial and legal information. Proficient in legal billing platforms and invoice review tools; familiarity with eBilling systems is preferred. Capable of working independently while contributing to team-based initiatives and goals. Excellent oral and written communication skills, including presentation skills. PC literate, including Microsoft Excel and Office products. Ability to create and complete comprehensive, accurate and constructive written reports. Ability to work in a team environment. Ability to meet or exceed Performance Competencies.

Work Environment

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Physical : Computer keyboarding, travel as required. Auditory / Visual : Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.