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 suits, including birth injury and other high damage cases.

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 claims, including birth injury and other high damage claims and suits.► 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, 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. • Presented cases for discussion and review at Claims Committee and Round Table meetings. • Attended and participated in mediations, arbitrations, and pretrial conferences on suits. • Completed and filed necessary reports within the company as well as reports to the National Practitioner Data Bank and State Boards.• Partnered with internal business partners including underwriting and risk management to review submissions, risk analysis and provide collaborative customer service.• Participated in marketing meetings to assist in presenting current and prospect customers the benefits accounts receive by working with COPIC Insurance Company to assist in meeting their business needs.• Provided exceptional customer service to insureds, agents and brokers, as well as internal business partners.

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 and lawsuits which may impact CNA's excess layer and for the potential of overall policy aggregate erosion. Performs annual account reviews for excess accounts in the form of an on-site Audit or Loss run Analysis. ►STRONG CUSTOMER SERVICE - Provides exceptional customer service by consulting with insured accounts and providing them with claim and risk resources to meet their individual needs. Acts as the main point of contact for excess accounts and handles issues and concerns with skill and tact.►COLLABORATIVE BUSINESS PARTNER - Actively participates in discussions with actuarial, underwriting, and other business partners on new and existing accounts, as well as prospect accounts. Works closely with claim partners, brokers, and the accounts on the potential exposure presented by open claims and the appropriate reserving of said claims. ► TECHNICAL CLAIM EXPERT - Interprets complex and unusual coverages involving excess, umbrella, and reinsurance policies in a variety of practice areas including hospitals, physicians, and aging services. ► STRONG COMMUNICATOR - Completes detailed, clear and concise, and timely reports following annual account reviews. Works with underwriting, claim, risk and actuary on the issues presented therein.► SKILLS - Integrity, Responsible, Detailed, Quick Learner, Fast-Paced, Strategic Execution, Mentor, Analytical, Forward Thinker, Ambitious, Motivated, Critical Thinker, Customer Focused, Reliable, Team Player, Collaborative, Leader, Medical Liability Claims, Excess Claims, Healthcare Liability, Claims Examiner, Complex Claims, Claims Consultant, Claims Specialist

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 management of difficult and complex claims, including birth injury and other high damage claims and suits. Partnered with the VP of claim to develop and implement new strategies and protocols that achieved claim department and company-wide goals. Effectively managed claim staff to control Allocated Loss Adjustment Expense (ALAE) and satisfactory indemnity payments incurred to ensure client satisfaction and to meet company expense goals. Led projects and initiatives for continual process improvement. ► KEY COLLABORATIVE LEADERSHIP ACCOMPLISHMENTS:• 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. • Monitored changes in the medical and legal environment to ensure adoption of new policies and procedures.

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. • Attended and participated in mediations, arbitrations, and pretrial conferences on suits. ► TEAM LEADERSHIP ACCOMPLISHMENTS :• Managed and supervised administrative staff members to ensure efficient operation of the duties of the team. • Coached, mentored and directed staff to ensure high level of work performance and assist in career development.► LED CONTINUOUS PROCESS IMPROVEMENT :• Collaborated with the VP of Claim to revise duties, develop new business practices and procedures and implement revised processes and automation. • Managed and led the centralization of key operational functions following the consolidation of 2 offices, including credential verifications, loss reporting and in-coming mail. • Partnered with IT staff to create and implement a new Claim Department survey upon closure of a file.

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. • Provided ongoing training and assistance as needed.

Master Of Business Administration (Mba)

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

Activities and Societies: Alpha Phi Fraternity