Kimberly Johnson
Erlanger,KY
Summary
Medical malpractice claims professional with 20+ years handling medical professional claims. Technically focused and results oriented working to defend the reputations of the insured providers and entities. Experience handling majority physician liability claims with expertise in high exposure cases.
Overview
24
24
years of professional experience
Work History
Claim Manager
CommonSpirit Health
05.2020 - Current
- Responsible for the management of professional liability claims with a focus on physician liability claims across multiple states.
- Analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
- Assigns and manages work of defense counsel and assignment of expert witnesses.
- Evaluation of liability and damages and participates in all settlement negotiations, mediations and trials.
- Consistently delivers superior customer services to both internal and external business partners, including insured physicians,
- Maintains diary control, investigates, analyzes to ensure proper reserves to reflect the company's exposure.
- Mentors and guides less experienced claim managers.
- Presents case studies and participates in Physician Executive Leadership meetings.
Sr. Claim Analyst
Catholic Health Initiatives/CommonSpirit Health
10.2015 - 05.2020
- Responsible for the management of professional liability claims with a focus on physician liability claims across multiple states.
- Analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
- Assigned and managed work of defense counsel and assignment of expert witnesses.
- Evaluation of liability and damages and participated in all settlement negotiations, mediations and trials.
- Consistently delivered superior customer service to both internal and external business partners, including insured physicians.
- Maintained proper reserves to reflect the company's exposure.
- Mentored and guided less experienced claim staff.
Claim Manager
Mercy Health
05.2013 - 10.2015
- Management of hospital professional liability, physician liability and general liability claims in Ohio and Kentucky.
- Analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
- Assigned and managed work of defense counsel and assignment of expert witnesses.
- Evaluation of liability and damages and participated in all settlement negotiations, mediations and trials.
- Consistently delivered superior customer service to both internal and external business partners, including insured physicians.
- Maintained proper reserves to reflect the company's exposure.
Senior Claim Coordinator
Catholic Health Initiatives
06.2005 - 05.2013
- Management of hospital professional liability claims and general liability claims for multiple states.
- Analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
- Assigned and managed work of defense counsel and assignment of expert witnesses.
- Evaluation of liability and damages and participated in all settlement negotiations, mediations and trials.
- Consistently delivered superior customer service to both internal and external business partners, including insured physicians.
- Maintained proper reserves to reflect the company's exposure.
- Mentored and guided less experienced claim staff.
Claim Coordinator
Catholic Health Initiatives
10.2001 - 06.2005
- Handled Auto, Property, General liability and Hospital liability claims in multiple states.
- Investigated claims, made liability decisions and negotiated liability with other carriers
- Coordinated repairs and rentals for all parties based on liability decisions and issued payments on repair estimates.
- Determined need for and directed defense counsel and experts.
- Determine coverage or denial of property claims and notify insured of coverage issues.
- Evaluation of liability and damages and participated in all settlement negotiations and mediations.
Claim Representative
SAFECO Insurance
05.2000 - 10.2001
- Handled Auto, Property, Bodily Injury and Medical Payment claims in Ohio, Kentucky and West Virginia.
- Investigated claims, made liability decisions and negotiated liability with other carriers
- Took recorded statements of insured, claimants and witnesses
- Coordinated repairs and rentals for all parties based on liability decisions and issued payments on repair estimates.
- Participated in settlement discussions
Education
Bachelor of Arts - Communications
Northern Kentucky University
Highland Heights, KY05.2000
Skills
- Claims analysis
- Claims investigation and research
- Planning and Organization
- Effective leadership and mentoring skills
Timeline
Claim Manager
CommonSpirit Health
05.2020 - Current
Sr. Claim Analyst
Catholic Health Initiatives/CommonSpirit Health
10.2015 - 05.2020
Claim Manager
Mercy Health
05.2013 - 10.2015
Senior Claim Coordinator
Catholic Health Initiatives
06.2005 - 05.2013
Claim Coordinator
Catholic Health Initiatives
10.2001 - 06.2005
Claim Representative
SAFECO Insurance
05.2000 - 10.2001
Bachelor of Arts - Communications
Northern Kentucky University
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