Mēgan F. Email & Phone Number

Boston, Ma, Us

Provide leadership, expertise, and support across the enterprise through compliance research, product/policy review, and regulatory compliance.• Lead countrywide filing initiatives for multiple lines of commercial specialty products including research, analysis and rollout of product filings both rate and rule. • Responsible for monitoring, reviewing, and interpreting all compliance and regulatory updates commercial specialty lines.• Review regulatory filings prior to submission to the state Department of Insurance, including rate filings, form filings and misc. filings. • Review, analyze and respond to rule and form objections from the state Department of Insurance.• Represents Compliance on product development and from compliance including competitor research.• Establishes and maintains a working knowledge of insurance products, legal and regulatory requirements, and business forms and process. • Draft and review filing materials in connection with regulatory compliance or product projects• Work with internal product and actuarial teams to develop new products.

Boston, Ma, Us

Provide leadership, expertise, and support across the enterprise through compliance research, product/policy review, and regulatory compliance.• Conduct high-complexity research to provide business impacts, risk identification, and detailed recommendations to improve and streamline compliance controls.• Identify process deficiencies and execute process improvement initiatives.• Drive regulatory or statutory change-driven revisions, including process changes, rating or underwriting guideline changes, and product changes.

Boston, Ma, Us

Provide leadership, expertise, and support across the enterprise through research, product review, and product submissions. Managed and led multiple personal product contract initiatives. • Led complex projects including drafting best in class new product for personal lines auto and electric vehicles, countrywide rollouts, and conversion of policies.• Maintained ownership over policy refreshes, compliance, and state regulatory updates for Northeast region.• Managed countrywide updates to auto policy language, including drafting updated state specific language and working with stakeholders to finalize filing approval.• Researched prior filings to support market conduct exams, internal audits, and legal requests.• Handled a large portfolio of product across multiple lines of business and underwriting companies.• Responded to and resolved objections to State filings.• Conducted in depth research of competitor filings using SERFF, ACORD, ratefilings.com, IRMI, Wolters Kluwer, and ISO.• Mentored analysts and senior associates, including performing peer reviews and quality control.• Identify and lead process improvement initiatives.• Promote cross-departmental collaboration to meet business goals.• Design and develop language for new products and product updates.

Boston, Ma, Us

Subject Matter Expert in legal billing and compliance. Interpreted and applied guidelines to certify legal billing and establish Best Billing Practices. Conducted budget collaborations in furtherance of litigation management ensuring outside counsel engaged in reasonable and appropriate best billing practices. • Identified improper billing practices and made recommendations to initiate compliance by the law firms, including audit recommendation and/or best billing practices presentations.• Partnered with Home Office to review multi-million-dollar invoice saving the company over $635,000.• Saved Liberty Mutual over $1.1 million in 2021.• Collaborated with Resolute regarding Mass Tort and law firm billing concerns.

New York, Us

Specialized in Veteran rights and appeals to District Court. Worked with the Rosie Network to help military spouse entrepreneurs with business strategy and startup legal needs. Represented major food manufacturing companies in all aspects of business litigation.• Prepared successful appeal against DFAS (defense finance) for over $500k related to a service member house allowance.• Filed and won appeal in District Court for erroneous discharge of Service Member.• Drafted multiple successful appeals to BCNR for erroneous discharge rating of Service Members.

Apply insurance carrier rules and guidelines to certify legal billing including compliance with fees and service policies. Ensure accuracy of billing and excessive charges. Manage insurance pre-bills for worker’s compensation and insurance litigation and provide expert assistance in helping firms gain maximum billing from insurance carriers. Analyze and identify areas of improvement for billing procedures and policies within the firm to simplify and streamline firm billing. Partner with clients to assist in improving billing compliance in an effort to increase law firm receivable and maximize profit, in accordance with insurance handling guidelines

Fort Washington, Pa, Us

Serve as staff attorney and perform contract analysis, negotiations, settlements, compliance analysis and other legal procedures for multiple hospital systems. Charged with managing hundreds of complex and comprehensive Veteran Administration claims, including maximizing payments from insurance companies to hospitals. Pursue favorable resolutions the organization in claims and negotiations with insurance carriers. Review and draft legal documents relating to demands for payment, coverage denials and HIPAA violations, perform research, bill review and auditing.  Tasked with negotiating and settling insurance claims for hospital systems. Analyze contracts and draft medical necessity appeals. Train and mentor junior attorneys to ensure optimal success and to achieve organizational and professional objectives. Perform contract analysis between insurance carriers and hospital networks for full compliance with contract terms, claim handling and processing.

Served as business consultant and advised clients on business formation and business creation process in South Korea and Germany. Maintained all CLE for Real Estate and Contract Law and handled multiple real estate transactions from sale through closing for rural properties in Texas.

As contract attorney for solo practice, I conducted title research, title reviews and ensured clear title for disputed oil and gas leases for Petrocasa Corporation in a Contract Attorney role. Focused primarily on oil and gas industry, establishing mineral ownerships and ensuring correct owner for payments and mineral rights while concurrently providing business consultation services, handled mineral right issues and performed estate planning that included creation of trusts for real estate. Key participant in the development of business strategies, operations management and business formations for start-up companies. Oversaw real estate purchase and sales, including drafting documents and attending closings. Prepared ad hoc Deed of Trust and Purchase Agreements and attended closings for local title company. Serve as court appointed attorney for probate cases.

Doctor Of Law (J.D.), Law

Project Management Certification (Pmp)

Bachelor Of Science - Bs, Agricultural Economics