Andrea Darling Kissner, Mba Email & Phone Number

Responsible for the management and supervision of a team of claims consultants who manage professional medical liability claims and suits for a variety of practice areas including physicians, hospitals, clinics and other medical providers. Mentor team members and provide training and development to claim staff. Manage complex and difficult claims and.

• Responsible for the management of professional medical liability claims and suits for a variety of practice areas including hospitals, physicians, clinics and other medical providers. Managed difficult and complex.
• Managed all facets of complex medical liability claims and suits to successful resolution.
• Investigated, evaluated, and analyzed claims and suits to determine accurate assessment of coverage, liability exposure, and financial damages.
• Effectively negotiated and resolved those cases in which a settlement is warranted.
• Prepared written and verbal assessments of cases supported by outside independent reviews by physician and other healthcare experts, claim committee review, and defense counsel concurrence.
• Managed the litigation process with defense counsel.

Greater Minneapolis-St. Paul Area

Responsible for the overall management of highly complex excess healthcare accounts. Provides services to both internal and external business partners on excess healthcare accounts by monitoring losses, performing audits, and analyzing the risk presented by our accounts. Reviews and analyzes excess account loss notices and loss runs for individual claims.

• Reported to the Vice President of Claim, managed professional medical liability claims and led a team of claim consultants to ensure proper investigation, evaluation, and resolution of claims and lawsuits. Oversaw the.
• Collaborated with the Vice President of Claim to select, train, and develop claim consultants to ensure a high level of performance.
• Mentored, coached, directed and evaluated individual and team performance. ► STRATEGIC AND TECHNICAL CLAIMS MANAGEMENT:
• Worked with staff to ensure timely and cost-effective case investigation, and used strong judgment in determining which cases should be settled or defended, with excellent trial results.
• Determined appropriate amount of settlements and provided settlement authority accordingly. Led and facilitated Physician Advisory Committee meetings. ► LED CONTINUOUS IMPROVEMENTS IN PRACTICES AND PROCEDURES:
• Facilitated and contributed to cross-departmental and organization-wide projects and initiatives to achieve results and goals.

MMIC Group

• ► MEDICAL LIABILITY CLAIM EXPERTISE:
• Managed all facets of complex medical liability claims and suits to successful resolution.
• Investigated, evaluated, and analyzed claims and suits to determine accurate assessment of coverage and liability exposure, and financial damages.
• Prepared written and verbal assessments of the case supported by outside examination by physician experts, Physician Advisory review, and defense counsel concurrence.
• Conducted negotiations and settled claims when necessary on a timely and appropriate manner.
• Managed the litigation process with defense counsel.

Greater Minneapolis-St. Paul Area

• ► ORGANIZATION AND IMPLEMENTATION
• Planned and implemented annual and quarterly marketing plans. Organized and facilitated educational seminars for clients. ► EXPERTISE IN MEDICAL REVIEW RECOMMENDATIONS
• Provided guidance to clients on medical needs and expert specialties.
• Consulted with clients and reviewed medical documentation in files to determine appropriate plans of action. ► QUALITY ASSURANCE
• Completed quality assurance reviews on reports required for clients and consulted with physicians regarding completed reports to ensure accuracy in reports.

Greater Minneapolis-St. Paul Area

• ► CASUALTY CLAIMS LIABILITY EXPERT
• Managed all areas of complex casualty claims with minimal supervision.
• Completed field investigations including interviews with involved parties and witnesses.
• Negotiated settlement on bodily injury claims, uninsured motorist claims, and underinsured motorist claims. Also handled no-fault claims.
• Attended and participated in mediations, arbitrations and pretrials on claims and suits to conclusion.►TRAINER AND MENTOR
• Trained and mentored new claim personnel in the casualty units.

Master Of Business Administration (Mba)

Bachelor Of Science (B.S.), Business Administration With An Emphasis On Management

Activities and Societies: Alpha Phi Fraternity