Therese A. Jackson, Aic, Arm, Arm-E, Arm-P, Rims-Crmp Email & Phone Number

Providing complete medical professional liability and general liability claim loss services for policyholders.

• Oversight of commercially insured, self-insured, and captive insurance programs for professional liability, general liability, property, auto, and cyber coverages. • Manage and partner with third party insurance administrator (TPA), claims service providers, and defense counsel nationwide for claims and litigation management, and resolution strategies involving sensitive and complex business relationships with insured healthcare providers who are employees or independent contractors, supplier partners, and hospital/healthcare system clients. • Manage open book of multi-state claims; confirm and monitor appropriate reserves. • Confirm coverage, interpret, and analyze coverage issues. • Claim handling in the areas of coverage, investigation, evaluation, litigation management and resolution of complex, high exposure claims insured under specialized coverage forms. • Effectively participate in case resolutions through dismissal, settlement, or arbitration/trial.• Personal attendance at mediation, arbitration proceeding, and trial.• Representative for corporate Person Most Knowledgeable (PMK) depositions. • Provide service to insureds and assist in client retention efforts.• Professional liability risk consultant for internal business and clinical operations partners. • Develop direct reports and support the production of department deliverables including certificates of insurance, claim history letters, and other claim/risk related activities. • Participate in insurance program underwriting submissions and strategic partnership with insurance brokers to achieve optimal placement and renewal results.

Oversight and support for campus risk management and insurance programs including general liability, auto physical damage, special events, and club sports/intramurals. Handled general liability, auto damage, and property claims which resulted in a significant increase in recovery to the campus. Conducted contract analysis and guided risk and insurance compliance. Primary risk consultant to campus stakeholders and business process improvement cohort participant.

Assisted in the development and execution of optimal risk finance strategies related to medical professional liability, including oversight of Patient Compensation Fund enrollments and captive insurance program. Directed and engaged collaboratively with third-party insurance administrators and outside defense counsel to effectively manage professional and general liability claims and litigation. Key risk consultant to internal business and clinical team.

San Diego, Ca

Managed professional and general liability claims for the leading provider of healthcare staffing and clinical workforce management solutions in the United States.

Long Beach, Ca

Human resource and administrative support professional for the 3rd largest public school district in California. Responsibilities included certificated recruitment and staffing for K-8 and Middle Schools, classified recruitment, testing and certification services, school office supervision, administrative support to school principals and the district’s Personnel Commission.

Long Beach, Ca

Supported network member medical practices with insurance contract and reimbursement analysis, and insurance carrier issues. Responsible for member benefit programs; educational forums and representation at community health events sponsored by the City of Long Beach, Long Beach Memorial Medical Center, and insurance carriers. Created marketing tools, network newsletter, and managed website.

El Monte, Ca

Support and supervision of customer service team in a busy call center for a medical managed services organization. Specialized in resolution of escalated customer issues and partnering with other departments to address operational issues.

La Jolla, Ca

Insurance benefit verification, treatment authorizations and obstetrical/surgical patient financial arrangements. Knowledge and experience with provider networks, medical insurance plans, medical terminology, treatment plans and CPT/ICD coding. Represented medical group at employer-based health and open enrollment events.

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Management, Healthcare Coursework