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Director of Insurance, Claims and Litigation

Location:
Baltimore, MD, 21201
Posted:
April 09, 2018

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Resume:

Qualifications Profile

Self-motivated, analytical, and accomplished professional, offering broad-based experience in litigation management, assets and liabilities, internal auditing, and risk administration. Equipped with proven track record of success in overseeing all aspects of medical malpractice, products liability, and insurance defense ligation. Expert at reviewing individual applications for insurance to evaluate degree of risk involved and identifying acceptable risk. Skilled at collaborating with individuals at all levels, combined with proven ability to effectively establish and maintain professional, business relationships with clients and staff. Known for a strong work ethic in maintaining the highest level of service while integrating innovative procedures to streamline and improve company operations.

Areas of Expertise

Problem Resolution Customer Service Risk Management Bill Auditing Negotiations

Training and Development Liability and Claims Evaluation General Operations Administration

Strategic Leadership and Collaboration Continuous Process Improvement Strategic Planning and Implementation

Education

Juris Doctor and Master of Business Administration: May 1991

University of Baltimore School of Law, Merrick School of Business Baltimore, MD, USA

1991 National Environmental Law Moot Court Team Environmental Law Society Treasurer, Phi Alpha Delta Law Fraternity

Bachelor of Arts in Psychology: May 1987

St. Mary’s College of Maryland St. Mary’s City, MD, USA

Graduated through the Academic Honors Program

Alumni Award Athletic Director’s Award Coach’s Awards Lander’s Award Varsity Volleyball

Who’s Who Among American University and Colleges Student Athletic Advisory Committee All Conference Volleyball Team

Centre for Medieval and Renaissance Studies Oxford, England: Spring 1986

Maryland Bar Admitted: 1991 Pennsylvania Bar Admitted: 1992 District of Columbia Bar Admitted: 1994

Professional Experience

LifeBridge Health Inc. Baltimore, MD, USA

Director of LifeBridge Insurance Jul 2005–Jul 2010

Responsible for the health system’s offshore captive and malpractice insurance program.

Administered all commercial insurance for the system including property, auto, fiduciary, and pollution.

Supervised the application process and reports of claims and potential claims to appropriate carrier.

Coordinated with entity-based risk management programs for identification of compensable events.

Functioned as educational resource and offered educational programs to staff and physicians.

St. Paul Fire and Marine Insurance Company Ringwood, NJ, USA

Director of Major Case Liability Jan 2005–June 2005

Claim Specialist Apr 2000–Dec 2004

Provided claims management for professional and general liability for hospitals and medical group practices.

Assumed full accountability for claims management, establishment of reserves, selection and management of defense counsel, bill auditing, negotiations, coverage analysis, and strategy setting for complex litigation.

Collaborated with bankruptcy counsel regarding healthcare system in bankruptcy to negotiate and deal with professional liability claims.

Served as key contact for a national account and numerous large healthcare systems.

Completed claim audits of healthcare systems and individual facilities.

American Continental Insurance Co. (MMI Company, Inc.) § Washington, DC, USA

Senior Claims Consultant Sep 1999 – Apr 2000

Claims Consultant Nov 1996 – Sep 1999

Delivered claims and risk management services for large integrated healthcare delivery systems along with medical group practices, managed care organizations, hospitals and physicians.

Broadened knowledge of jurisdictional laws and regulations while analyzing coverage and preparing written coverage opinions for all policies.

Collaborated with varying levels of coverage and deductible insured retentions in reviewing loss information for credentialing verification process in conjunction with underwriting department.

Maintained active involvement in numerous risk management audits and presentations to healthcare providers and hospital administrator on various risk and legal issues.

Functioned as company liaison between bankruptcy attorney and healthcare system.

Prepared proofs of claims for ACIC and testified in court with regard to insuring relationship and claims evaluation.

Team Leader for Mid-Atlantic Account Management Team Jan 1998 – Nov 1999

Supervised all accounts in the Mid-Atlantic region regarding customer service issues, MMI Services, as well as profit and loss analysis.

Organized sales, underwriting, risk and claims staff in servicing various account.

Oversaw marketing and new business development in the region.

DeCaro, Doran, Siciliano, Gallagher, Sonntag, & DeBlasis Lanham, MD, USA

Litigation Attorney Apr 1993–Oct 1996

Managed all aspects of medical malpractice, products liability, and insurance defense ligation which included intake, depositions, experts, settlement evaluation, negotiation, trial and appeal.

Supervised fire retardant treated plywood cases while negotiating global settlement of all claims.

Conducted several risk management and legal seminars for insurance clients and healthcare providers.

Oversaw junior attorneys, paralegals, as well as staff of the law firm.

Earlier Career

Circuit Court for Anne Arundel County Annapolis, MD, USA

Judicial Law Clerk

Baltimore City States Attorney’s Office Baltimore, MD, USA

Law Clerk Rule 16 Student Attorney

Paul R. Kramer, P.A. Baltimore, MD, USA

Law Clerk

Court of Special Appeal’s Towson, MD, USA

Intern

Professional Affiliation

Member, District of Columbia Bar Association: 1994-Present

Member, Maryland Bar Association: 1991-2010

Member, Anne Arundel Bar Association: 1993-2002

Member, Pace Brent Joint Inns of Court (PBJC): 1991-2002

Executive Committee, PBJC: 1994, 1996-1998; Membership Chair, PBJC: 1997-1998; Recorder, PBJC: 1997-1999

Young’s Lawyer Section – Chairperson, Prince George’s County Bar Association: 1995-1997

Member, American Women's Club Gothenburg (AWCG): 2010-2011; Vice President, AWCG: 2011

Member, American International Women's Club: 2011-2012

Awards and Honors

Outstanding Young Women of America: 1997

Activities

Troop Leader, USA Girl Scouts Overseas: 2011-present Troop Leader, USA Girl Scouts of America: 2009-2010

Volunteer Assistant Librarian: 2011 – Present The Old Library: 2017-Present

International School of Hamburg: 2012-2015 Frankfurt International School: 2011-2012

American Parent Representative, International School of Hamburg: 2013-2015

Publication

Roberts, A.T. (2000). Addressing nursing liability issues in today’s environment. The St. Paul Healthcare–Communiqué, Minnesota.



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