Daniella Riche

• Managed a high volume of cases simultaneously, ensuring each received proper attention and care.
• Assisted clients in obtaining the medical care they needed by coordinating appointments and transportation services as required.
• Conducted intake interviews with new clients, gathering critical information to build a solid foundation for their case.
• Served as a liaison between clients, attorneys, insurance companies, and other parties involved in personal injury cases – enhancing overall efficiency within the practice.
• Assisted in preparing legal documents such as pleadings or discovery requests, expediting the litigation process when necessary.
• Managed high-pressure situations effectively, resulting in mutually beneficial agreements between parties.
• Monitored medical treatment progress, maintaining open lines of communication with healthcare providers involved in the client''s care plan.
• Collaborated with other healthcare professionals to ensure the timely delivery of pertinent medical information.
• Identified discrepancies within medical records, leading to the correction of vital patient information.

• Obtained evidence through direct records reviews and conducted interviews with complainants, suspects and policyholders.
• Collected sworn written and recorded statements backing up investigations.
• Conducted confidential investigations of potential insurance law violations.
• Prepared case reports from allegations, transcripts of interviews and physical evidence.
• Conducted multi-scope research into suspects to determine criminal activities and suspect operating environments.
• Prepared detailed denial letters to inform customer of reason for denial

Interviewed claimants and witnesses to gather factual information.

• Consulted police and hospital records when needed.
• Evaluated insurance policies and analyzed damages to determine coverage.
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• Trained other claims staff members on proper handling and evaluation of injury claims.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Planned coaching sessions for new hires to learn proper claim handling and desk handling
• Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
• Collected evidence to support contested claims in court.
• Processed medical records requests from outside providers according to facility, state, and federal law.
• Reviewed medical charts and flagged incomplete or inaccurate information.
• Uploaded physician progress notes, history, and physicals into electronic medical records.

• Examined claims forms and other records to determine insurance coverage.
• Prepared summaries of damage, payments, and policy coverage.
• Researched and analyzed policy contracts to verify proper payment of claims.
• Evaluated insurance policies and analyzed damages to determine coverage.
• Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
• Maintained contact with claimants and attorneys to determine treatment status.