Kayla Boggs
Pascoag
Summary
Extensive experience in investigating and evaluating claims accurately and efficiently. Strong focus on team collaboration and attention to detail in case management.
Overview
14
14
years of professional experience
Work History
Claims Analyst
Care New England
12.2016 - Current
- Manage high-volume caseloads, prioritizing tasks to ensure timely completion of all case related responsibilities.
- Investigate formal claim files to include meeting with fact witnesses, retaining expert reviews and recommendation for settlement or denial determination.
- Negotiate settlements of general and professional liability incidents.
- Act as a liaison between CNE operating units and assigned defense counsel in gathering and coordinating discovery.
- Prepare case reports and present updates to Hospital Claims Committee.
- Participate in mock trials, mediations, arbitrations and trials.
- Maintain the department's policy and procedure and contract databases.
Hospital Risk Coordinator
Butler Hospital
04.2011 - 12.2016
- Reviewed incident reports and conducted thorough investigations into patient safety concerns, near misses, and adverse events.
- Organized and participated in Root Cause Analyses, Risk Management Conferences and development of action plans.
- Tracked and analyzed risk data to identify trends and areas for improvement, generating reports for leadership to inform decision-making.
- Contributed to the development and implementation of hospital policies and procedures related to risk management.
Education
Bachelor of Arts - Psychology
University of Rhode Island
Kingston, RI 05-2017
High School Diploma -
St. Mary Academy - Bay View
East Providence, RI 06-2006
Skills
- Claims investigation and analysis
- Interpersonal and written communication
- Medical record review
Accomplishments
- Graduated from the CNE Leadership Development Program, March 2024
- Revitalized the CNE Peer Support Program, Care2Peer to include recruitment, training, brochure development and ongoing program support.
- Developed the "Litigation Peer Support" CNE Intranet Page
Timeline
Claims Analyst
Care New England
12.2016 - Current
Hospital Risk Coordinator
Butler Hospital
04.2011 - 12.2016
Bachelor of Arts - Psychology
University of Rhode Island
High School Diploma -
St. Mary Academy - Bay View
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