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Yyyyyy x. yyyyyy

- 160 Dalton Dr.Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx * abc@xyz.com

 

Risk Manager ▪ Paralegal Administrator

Qualifications Profile

 

    Self-assured and results-driven paralegal professional with more than 25 years providing high-performance administration, client service, and operations support in the private legal practice businesses.

-    Proven dedication to process efficiencies in delivering a satisfying client experience with private law practice firms that foster repeat business and a strong reputation with clients, the public, government, and insurance firms.

    Detail-oriented, analytical and methodical with critical thinking to resolve work issues even under stress.

    Well-organized and resourceful with multitasking and prioritization skills that optimize limited resources to achieve outstanding administration outcomes with or without supervision.

    Strong people management and interpersonal communication skills that inspire confidence across diverse ethnicities.

 

Key Expertise


Business Operations

    Operations Planning

    Legal/Court Case Management

    Customer Service Management

    Claims Management

    Risk Mitigation

    Worker s Compensation

    Process/Workxxxxxxow Improvement

    Relationship Management (Clients, Physicians, Public, & Government)

    Project Management Support

Administration

    Legal & Regulatory Compliance

    Fiscal & Budget Administration

    Staff Supervision & Training

    Time Management

    Office & Staff Administration

    Office Supplies Inventory

    Records & Document Management

Technical

    Productivity Tools: MS Office (Word, Excel, PowerPoint, Access, & Outlook)


 

Professional Experience

 

Administration

    Provide paralegal administration in several private law practices engaged in worker s compensation and liability claims in representing employers, medical administrators, and insurance companies.

    Leverage extensive knowledge of pertinent statutes, administrative code rules, and case law pertaining to workers compensation, medical, and insurance defense claims, preparing reports and opinion letters with recommendations for swift and successful case/claim resolution.

Case Management

    Prepare cases for review by the Agency for Healthcare Administration and the Board of Medicine.

    Evaluate legal and claim cases for discovery responses, risk mitigation, deposition, mediation, trial, and settlement.

Claims/Risk Management

    Prepare correspondence evaluating claims with detailed assessment of potential exposure for settlement purposes

    Review and assess medical records for preparation of detailed outlines pertaining to medical treatment

    Investigate insurance claims, reviewing records, interviewing witnesses, initiating and responding to discovery, conferencing with involved parties, and reporting to stakeholders for appropriate action.

    Review and audit claims files in preparing itemized reimbursement requests for submission to the State of Xxxxxx.

    Provide peer and utilization review involving complex medical claims.

    Recommend programs and procedures to mitigate risk of future claims with similarly adjudicated cases/scenarios.

Relationship Management

    Maintain rapport with claimants through regular meetings and conferences with attorneys, employers, doctors, and insurance claim professionals, assimilating and conveying technical information needed to process and adjudicate claims and legal cases.

 

Career History

 

The Law Offices of Rissman, Barrett, Hurt, Donahue, McLain & Mangan Ÿ Tampa, XXXXXX

Paralegal 2007 Present | 1991 - 1999

Law Offices of Mark Spangler, P.A Ÿ Maitland, XXXXXX

Paralegal Consultant 2000 2007

 

Education & Credentials

 

    M.B.A., Nova Southeastern School of Business and Entrepreneurship (1999)

    B.A. in Legal Studies, University of Central Xxxxxx (1991)

Professional Training & Certifications

    ARM 54 Risk Management Training

    Certified Paralegal, National Association of Legal Assistants (2012)

 

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