Tarajuh Burch
ABA Certified Paralegal/Case Manager
24 Pebble Road Pooler,Georgia
Summary
- Possess a positive “can do” attitude to face challenges and accomplish organizational goals.
- Core competency in undergraduate studies of law, contract negotiation and administrative legal procedures.
- Highly skilled ABA-Certified Paralegal bringing 7+ years of legal expertise in Personal Injury and Insurance.
- Strong Analytical skills and fact-gathering abilities to elicit information through interviews, evidence and observation.
- Proactive Personal injury case manager with demonstrated leadership abilities, strategic planning expertise and problem-solving acumen.
- Methodical and well-organized in optimizing coverage to meet operational demands.
Overview
4
4
years of post-secondary education
18
18
years of professional experience
Work History
Case Manager
Morgan and Morgan, P.C
Atlanta, GA
07.2017 - 12.2019
- Develop personal injury cases from the initial intake process, case management, negotiations, disputes, settlement and disbursement phases.
- Experienced in drafting legal documents, office automation skills using Client Profiles and Salesforce, scheduling meetings, managing client files and interacting with clients.
- Request police/incident reports; draft a variety of documents; highly skilled in evidence gathering from conducting client interviews, obtaining witness affidavits, recorded statements and Insurance transcripts to establish liability and verify key case information, conduct recorded interviews, spoliation requests.
- Conduct legal research using Westlaw, Lexis Nexis, case information through records, reference and historical material and maintain statistical data on cases.
- Request and Inspect Insurance and disclosure documents to ensure valid coverage and policy limits are proper for the loss.
- Prepare notification correspondence for insurance companies and medical providers.
- Analyze medical records and case reports to determine if claimants injuries and/or illness are related to/or aggravated by the loss.
- Establishing and maintaining legal case files; Respond to requests for updates and information.
- Negotiate with insurance carriers, lien holders and medical provider charges.
- Prepare and present case evaluations for weekly peer review meetings to establish baseline outcomes of anticipated compensation values.
- Assemble data and draft settlement demands that reflect the medical analysis of the case and supported treatment by medical providers.
- Provide pertinent case information by phone, in person and email correspondence to clients, adjusters, attorneys and medical providers.
- Establish and maintain excellent communication with clients, managing expectations and ensuring they understand the content of information presented throughout the entirety of their case and encourage feedback.
- Consulted with clinicians to devise and manage effective ongoing life care plans for at-risk clients.
Serious Injury Case Manager-Office Manager
Michael Hostilo LLC
Savannah, GA
09.2013 - 07.2017
- Manage over 125 serious injury cases for high volume personal injury firm; Build client relationships, organize the flow of daily work, prioritize to-do checklist; utilize automated Needles Case Management software.
- Communicate with clients, medical professionals, claims adjusters and other staff to provide case; elicit information necessary to make sound decisions.
- Conduct initial case intake interview of client's injuries and treatment, manage client treatment plan, gather accident details, investigate citation disposition, initiate open records request, interview prospective witnesses, facilitate recorded statements to resolve coverage or liability disputes.
- Assist client with property damage, diminished value assessments, facilitate total loss settlement and arbitration process.
- Request, and review extensive searches of records; analyze documentation, medical records, synthesize materials from different sources, calculate damages, draft settlement statements, assemble settlement packages, determine case value, medical expenses, lost wages and property damage.
- Assist team attorney with case evaluation, settlement negotiations, perform case analysis for reject/referral cases.
- Perform legal research, draft demand letters, affidavits, produce spoliation letters, tort letters and various legal correspondence.
- Perform administrative tasks for pre-litigation cases, validate subrogation liens, negotiate liens.
- Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration.
Intern
Equal Employment Opportunity Commission
Savannah, Georgia
10.2012 - 06.2013
- Receive inquiries and complaints of employment discrimination; process intake questionnaires and conduct preliminary review of information to determine if charge has bases to file under federal statutes enforced by the Commission (Title VII, ADEA, ADA, GINA, EPA, and LGBT).
- Enter data from questionnaire in IMS (Integrated Mission System) and assign charging party a charge file number.
- Draft charges and complaints on behalf of charging party, serve respondent charge and other supporting correspondence.
- Conduct intake interviews of potential charging party's complaint of employment discrimination; inform them of their administrative, legal rights, and responsibilities under the laws enforced by the Commission.
- Review and interpret highly technical information regarding laws enforced by the Commission; convey the regulations, rights, and charge handling process to charging party in a manner that helps the complainant retain and utilize the knowledge presented.
- Analyze cases assigned for investigation, write investigative plan that identify the bases and issues involved, applicable legal theories, scope of investigation, potential source of evidence and type of evidence required and investigative techniques to be employed.
- Prepare Requests for Information, predetermination interview letters, other various correspondence, and documents for mailing to charging party and respondents.
- Perform case assessments, make recommendations for case closures, perform case closures and process accompanying documents; enter appropriate codes and send case to function unit.
- Review and process Section 83 file disclosure requests.
- Regard all information confidential to protect the integrity of the EEOC as well as all parties of interest.
- Assist mediation staff by setting up conference location, schedule mediation meetings between charging party, respondent and representing counsel.
- Coordinate with charging party, respondent and their respective attorneys to meet and exchange information and express their expectation for reaching a resolution.
- Prepare settlement documents for all parties to review, sign and adhere to the binding agreement.
- Perform various administrative duties, track cases, assemble case files, field and direct calls to investigators, distribute mail, and case files.
- Completed clerical tasks such as filing, copying and distributing mail.
Business Services Coordinator
Neurological Institute Ambulatory Surgery Center
Savannah, GA
11.2006 - 01.2011
- Review fee proposals and negotiate case rates with third party payers and vendors.
- Liaison to Clinical Director, Billing Manager, Physicians and Practice Administrator for compliance with charges, patient accounts and scheduling.
- Coordinate patient scheduling, precertification, determine patient or responsible party's financial liability for pending surgery, review medical benefits, procedure requirements and financial obligation associated with fees to the facility and operating physician.
- Performed billing and accounts receivable duties for ASC, update status of patient accounts, review and reconcile account balances.
- Analyze patient accounts to ensure explanation of benefits was paid in accordance to contracts, address and negotiate disputes, third party negotiations or level of benefits quoted.
- Translated business priorities into implementable actions.
Urological Physicians and Surgeons, P.A
West Palm Beach, FL
07.1999 - 09.2006
- Medicare Biller.
- Specialize in Medicare, Commercial payer, Medicaid, and Workers Compensation claims billing utilizing electronic transmission.
- Manage patient financial records, process refunds, adjustments, overpayment, and reconcile patient account balances.
- Audit patient medical records to ensure accurate diagnosis and level of service apply.
- Draft appeals to payers regarding discrepancy in reimbursement and medical necessity disputes.
- Coordinate ALJ appeals and hearings and gather documentation to support appeals.
- Update chargemaster, diagnosis and procedure code file in system quarterly and annually in compliance with federal policies and payer guidelines and regulations.
- Analyze surgical, office and hospital records and code physician services rendered in office, outpatient and inpatient hospital ensuring appropriate level of service (E&M and hospital f/u) is coded properly for each diagnosis presented.
Education
MBA - -Jack Welch Management Institute Executive MBA
Strayer University
Savannah, Georgia 07.2013 - 05.2016
Bachelor of Science - Legal Studies, ABA Certified Paralegal
South University
Savannah, GA 08.2010 - 03.2012
Skills
People management
undefinedTimeline
Case Manager
Morgan and Morgan, P.C
07.2017 - 12.2019
Serious Injury Case Manager-Office Manager
Michael Hostilo LLC
09.2013 - 07.2017
MBA - -Jack Welch Management Institute Executive MBA
Strayer University
07.2013 - 05.2016
Intern
Equal Employment Opportunity Commission
10.2012 - 06.2013
Bachelor of Science - Legal Studies, ABA Certified Paralegal
South University
08.2010 - 03.2012
Business Services Coordinator
Neurological Institute Ambulatory Surgery Center
11.2006 - 01.2011
Urological Physicians and Surgeons, P.A
07.1999 - 09.2006
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