Amber Pauley

Locate and match professional physician experts with attorneys for legal cases. Coordinate calls with experts and attorneys when needed. Manage the calendar with calls, depositions, trial dates. Manage and oversee and update the system with pertinent information. Conduct zoom calls.

• Managed and motivated employees to be productive and engaged in work.
• Accomplished multiple tasks within established timeframes.
• Maintained professional, organized, and safe environment for employees and patrons.
• Oversee team of 7 nurses, managed high profile accounts.
• Evaluations, budget and salary for team.
• Project lead

• Managed a diverse caseload, prioritizing tasks effectively to meet strict deadlines and maintain quality standards.
• Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
• Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
• Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
• Developed strong relationships with external partners such as medical providers, attorneys, and investigators to facilitate effective information exchange during claim investigations.
• Ensured timely resolution of escalated claims by working closely with legal counsel and other stakeholders.
• Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.

Field Nurse Case Manager

in house nurse Case manager

processed all surgery requests for accuracy and approvals

assisted with payment of hospital bills

• Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.