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Skills

  • Communications
  • Regulatory compliance
  • Business operations
  • Legal strategy collaboration
  • Data-Driven Investigation Techniques
  • Legal document organization systems
  • Investigative report presentation
  • Medical-legal research
  • Team management
  • Relationship development

Work Experiences

  • Answered 13 calls per two years to help customers with their questions and concerns.
  • Analyzed malpractice claims.
  • Became the standard protocol for Seattle healthcare systems.
  • Examined claim forms and other records to determine insurance coverage.
  • Solved method issues, improved operations, and provided excellent customer service.
  • Transported Adobe Creative Suite to the past year customer locations.
  • Achieved a 71% decrease in litigation timeframes.
  • Conducted detailed review of patient history and treatment plans, identifying critical discrepancies in 5% of claims.
  • Authored detailed investigative reports.
  • Advised medical practitioners on risk management strategies.

Summaries

  • Achieved 27% improvement.
  • Achieved a 19% improvement in case closure rates.
  • Medical Malpractice Investigator with 11 years of successful vendor management and strategic planning experience.
  • Committed to continuous professional development, having spearheaded ongoing education within medical facilities to prevent incidents and reduce legal exposure by 43%.
  • Listening to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses.
  • Achieved a 63% reduction in settlement costs.
  • Proven track record of using excellent negotiating skills to speed up settlements.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Review documentation and assess properties efficiently to determine damage levels, complete cost estimates, and maintain liability control.
  • Adept at discovering negligence in 53% of reviewed cases.

Accomplishments

  • Generated cost-saving initiatives through targeted research of malpractice defense strategies, cutting overhead costs by $215,000 annually
  • Delivered reports that led to 6 reductions in malpractice settlements by unveiling hidden discrepancies in claim documentation
  • Assessed 9 medical charts for discrepancies, accelerating case resolution timelines by 20%
  • Resolved product issue through consumer testing.
  • Documented and resolved metric which led to system.
  • Reduced deposition preparation time by 76% by developing a standardized template for medical malpractice investigations
  • Efficiently managed a caseload of 18 cases, ensuring timely investigations and adherence to legal requirements within three years
  • Created auditing frameworks to ensure compliance with all investigative standards, resulting in 44% fewer missed case deadlines
  • Collaborated with team of 8 in the development of program.
  • Collaborated with insurance adjusters to resolve malpractice claims, reducing claim processing times by 55% in 2017

Affiliations

  • Health Care Compliance Association (HCCA)
  • Medical Professional Liability Association (MPLA)
  • Association of Independent Health Care Investigators and Consultants (AIHC)
  • National Association of Insurance Commissioners (NAIC)
  • American Marketing Association
  • American Association for Justice (AAJ) – Medical Malpractice Section
  • International Medical Informatics Association (IMIA) – Healthcare Systems Division
  • American Health Law Association (AHLA)
  • National Association of Law Placement (NALP) – Compliance & Investigations Division
  • Association for Supply Chain Management (APICS)

Certifications

  • Medical Claims Auditor Certification – Harbor & Co.
  • Certified Specialist in Legal Malpractice (CSLM)
  • Geographic Information Systems (GIS) for Investigations Certification – SAP
  • Certified Professional Coder (CPC) - AAPC
  • Google Certified Professional Cloud Architect
  • Certified Business Analysis Professional (CBAP)
  • Healthcare Risk Management Certification (HRM)
  • Board Certified Patient Advocate (BCPA)
  • First Aid/CPR Certified
  • ServSafe

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