Albert & Mackenzie is a well-established and expanding workers’

Compensation

defense law firm with a strong presence across California. Proudly recognized as a Great Place to Work for six consecutive years (2021–2026), the firm has also earned multiple Best Places to Work awards.

lien claims on behalf of our clients.

regulations and billing guidelines. Your work plays a vital role in reducing liability and supporting effective case resolution strategies.

Key Responsibilities

Include but Are Not Limited To: 1. File Review & Resolution Preparation Review and analyze lien claims to assess validity, billing practices, and exposure. Compare billed services to accepted body parts and treatment authorization; flag issues related to duplication, over-utilization, and unsupported charges.

Audit bills in line with the Official Medical Fee Schedule (OMFS), MTUS guidelines, and the DIR Drug Formulary. , unbundled CPT codes, incorrect fee schedule application, overpricing, or off-formulary medications). Research and document billing disputes to support negotiation or litigation.

Prepare case summaries, authority requests, and recommendations for resolution. Organize findings in a manner that allows litigation or hearing representatives to proceed confidently with hearings if needed. 2.

Requirements

Verify that documents are properly served and admissible. Support Hearing Representatives with pre-trial documentation. 3.

, interpreters, chiropractors, imaging centers) via phone or email. Under guidance, participate in lower-complexity WCAB lien appearances or OTOCs. Apply legal, medical, and technical knowledge to drive down settlement values.

4. Billing Responsible for billing 8–10 hours per day, in accordance with established billing guidelines. Ensure that time is logged accurately and that all billed activity reflects productive, client-facing work.

Any exceptions or non-billable tasks must be discussed with management in advance. Billing compliance is a key performance metric and will be regularly reviewed by leadership. 5.

Case Management & Reporting Maintain accurate, detailed notes in the case management system. Update internal databases and trackers regularly. Submit timely, professional reports following established templates and protocols.

Proficiency in systems such as A1, ProLaw, Merus, or PerfectLaw is highly preferred. 6. Special Projects Participate in special assignments such as bulk settlements, client audits, or file closure projects.

Assist with intake or file audits as needed. Work Environment: Regular business hours (M–F typically 8:30-5pm). Primarily remote; occasional travel to WCAB locations may be required.

Must be able to lift up to 15 lbs for file transport during in-person events or special projects.

Qualifications

: 1–3+ years of experience in lien defense within Workers’

Compensation (Defense Firm Experience Strongly Preferred)

Solid understanding of California WCAB procedures, OMFS, MTUS, and EAMS. Strong organizational and time management skills. Excellent communication (written and verbal) and negotiation abilities.

Familiarity with medical billing codes, provider profiling, and treatment authorization processes. Paralegal certificate or equivalent legal education/training is a plus. Performance Expectations: Meet or exceed daily billing goals.

Lien Representative