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Skills

  • Client advocacy
  • Supervision
  • Benefit Award Structuring
  • Business operations
  • Settlement Negotiation
  • Post-Hearing Follow-up Management
  • Operational improvement
  • Dispute Risk Reduction
  • Data-driven outcome improvement
  • Litigation strategy formulation

Work Experiences

  • Carefully considered program and framework decisions based on factors such as function, cost, and risk.
  • Solved framework issues, improved operations, and provided excellent customer service.
  • Contributed issue knowledge and key expertise in 6 months meetings focused on client relations concerns.
  • Weighed support and opposition to proposals by evaluating physical and digital records, testimony, and reports.
  • Transported Workday to the past year customer locations.
  • Achieved improvement over two years.
  • Assessed system, program, and procedure documents for standard compliance and made effective approval or denial decisions.
  • Advocated on behalf of clients.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved successful outcomes in program hearings by clearly articulating complex legal arguments to administrative law judges and decision makers.

Summaries

  • Achieved high client satisfaction.
  • Achieved timely resolutions in framework cases.
  • Dedicated to improving method while balancing current and future requirements.
  • Hearing Representative with 4 years of successful workflow optimization and performance reporting experience.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Achieved consistent outcomes.
  • Articulated clear arguments.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the system business.
  • Proven leadership skills in workflow optimization, as well as a calm, level-headed approach to routine and complex issues.
  • Clear understanding of team leadership and process improvement as well as cross-functional collaboration training.

Accomplishments

  • Overhauled the case tracking system, streamlining communication between departments and improving overall case resolution speed by 46%.
  • Played a key role in conducting case mock-trials with subject-matter experts, resulting in improved hearing preparedness and a 36% increase in case success rates.
  • Assisted in appeals process by drafting legal arguments that overturned denials in 32% of cases involving initiative claims.
  • Worked directly with third-party vendors to resolve conflicts in case documentation, lowering dispute escalation rates by 52%.
  • Collaborated with team of 7 in the development of system.
  • Resolved product issue through consumer testing.
  • Enhanced departmental processes through continuous improvement initiatives, shortening resolution timelines by 5 days while ensuring compliance with all legal standards.
  • Led procedural briefings and training for newly hired Hearing Representatives, improving department’s win rate by 31% within 18 months.
  • Created case strategies to efficiently dispute contested claims, reducing overall employer liability in 10 cases annually.
  • Drove a 59% improvement in timely case review results through implementing legal document management software, enhancing case preparation.

Affiliations

  • National Employment Lawyers Association (NELA)
  • International Association of Administrative Professionals
  • Certified ADR mediator from initiative
  • Toastmasters
  • Society of Women Engineers
  • National Association of Hearing Officials (NAHO)
  • Member of the Public Employees Legal Representation Association (PELRA)
  • Recipient of 2024 Hearings and Appeals Advocacy Award from program
  • Contributor to the Administrative Law Review
  • National Legal Aid & Defender Association

Certifications

  • Workers' Compensation Claims Administration Certification
  • NALA Certified Paralegal with Workers' Compensation Focus
  • Certified Administrative Law Hearing Specialist (CALHS)
  • Claims and Appeals Strategy Expert Certification
  • Cisco Certified Network Associate (CCNA)
  • Society for Human Resource Management - Workers’ Compensation Specialist (SHRM-WC)
  • Certified Claims Assistant (CCA) – Appeals Focus
  • Claim Investigation and Appeals Process Training Certification
  • Certified Workers' Compensation Specialist (CWCS)
  • First Aid/CPR Certified

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