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JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Professional with proven abilities in leadership and creative problem solving ready to bring expertise in communication and law, as well as regulatory analysis gained from more than 17 years as an attorney and related profession supporting highly regulated and complex medical cases and disability cases to new role. Hold a Juris Doctor and Bachelor in Civil Law, evidencing honed skill in understanding and interpreting regulatory law and processes. Consistently recognized by superiors and peers for positive attitude, ability to work with team members to achieve goals, and excellent work product that resulted in a competing firm adverse to the Division of Workers' Compensation offering me a position and a government promotion of two grades from GS-7 to GS-9 in less than six months.

Skills
  • Familiar with Procurement and Third Party Risk Management processes, tools and data.
  • Superior ability to interpret regulation, respond appropriately to regulatory requirements and requests, and execute compliance risk management activities.
  • Task prioritization and excellent time management skills with ability to manage, multi-task and execute multiple priorities and deliverables within tight deadlines, with the skills to adapt to changes in a fast-paced, dynamic matrixed environment.
  • Proven verbal and written communication that results in excellent partnership skills to effectively manage, inform, and influence outcomes.
Experience
02/2020 to Current Senior Contract Advisor Massachusetts Institute Of Technology | Boston, MA,
  • Integral part of three separate teams at USAA including Critical/High contract clean up in preparation for regulatory audit under Angela Steffens; IT related Sourcing and Procurement team under Jim Goodall; and Compliance Reviewer of all Low-IRR contracts under Angela Steffens/ Cindy Ditsworth.
  • Experience working in a highly regulated environment with expert knowledge of industry regulations and regulatory compliance as the head of the Low-IRR contract reviewers.
  • Executes compliance risk management activities in accordance with enterprise compliance standards and serves as the technical expert regarding compliance laws and regulations and provides direction to SPDs, peer Low-IRR reviewers, SPMs, and 3PRMs on complex issues. Heads all changes to the Contract File Review (CFR) Guide followed by all reviewers, including QA.
  • Advanced knowledge of compliance laws, regulations and regulatory expectations with the demonstrated ability to apply advanced knowledge of regulatory compliance to consult and provide insight and guidance as the head of the Low-IRR reviewers and one of only two members of the Critical/High contract clean up team.
  • Identifies future needs, opportunities and potential compliance solutions, as an integral part of and head of Low-IRR reviewers team, and leads cross-functional teams through the problem resolution process by heading all changes to the CFR followed by all reviewers, including QA.
  • Ability to communicate effectively at all levels of management with expert knowledge of Microsoft Office tools to include Word, Excel and PowerPoint, as evidenced by excellent communication in managing contract defects amongst 3PRMs, SPMs, SPDs, and SET executives, heading all changes to the CFR Guide, and recording and tracking the various data elements required within the Critical/High contract clean up team and the Low-IRR reviewers team.
  • Identifying multiple sources of data and transforming data into reports to tell the story and tailor presentations as need for leadership while serving on the Critical/High contract clean up team.
01/2017 to 02/2020 Attorney Minc Law | Cleveland, OH,
  • Communicated effectively with Workers' Compensation Insurance Carrier clients to interpret laws, rulings and regulations which affected each case, performed and coordinated business support, analyzed discrepancies and system failures when Division of Workers Compensation, State of Texas, proposed sanctions.
  • Collaborated and exchanged information with Workers' Compensation Insurance Carrier clients and partners to ensure risks and opportunities were identified to better prepare for mitigation and defense.
  • Demonstrated ability to apply advanced knowledge of regulatory compliance, and to consult and provide insight and guidance of compliance laws, regulations and regulatory expectation, as evidence by leading the defense of various self-insured cities in alleged violations involving more than 30 individual fire fighters' cases.
  • Honed ability to communicate and transform data into reports and presentations, as evidenced in communications with cities' leadership and business partners regarding the business implications associated with those fire fighters' cases and developed recommendations to mitigate future impact.
  • Developed detailed litigation strategies for more than 20 active cases at any given time.
  • Researched legal authority and black letter law to compare case facts patterns to precedential cases and determine probable outcomes.
  • Conferred with judges and opposing counsel to discuss and settle case disputes.
11/2015 to 01/2016 Staff Attorney Berry, Appleman & Leiden | Austin, TX,
  • Demonstrated ability to quickly and efficiently gain advanced knowledge of a highly regulated and unique area of law that involves the intertwining of the various needs involving employees, employers, specialized insurance carriers, and medial care professionals.
  • Identified multiple sources of data and transformed data into pleadings and briefs to tell the story and tailor the pleadings and briefs as needed for audience and purpose, such as for contested cases and such hearings.
  • Resolved complaints regarding alleged violations of the Texas Insurance Code, Texas Labor Code, and the Texas Administrative Code.
  • Collaborated with internal clients to understand business needs and opportunities, resulting in effectively resolving a case with a consent order that involved an allegation that had never been successfully pursued in the past.
  • Superior ability to apply advanced knowledge of regulatory compliance to consult and provide insight and guidance, as evidenced by serving as the Division's legal authority regarding quality of care compliance cases.
  • Coordinated, prepared, and delivered training to internal clients and peers that covered upgraded processes relating to these cases against medical professionals providing workers' compensation care.
  • Managed a high number of complex quality-of-care cases, including successfully resolving four quality of care cases within a six month period and managing 10 simultaneously.
  • Analyzed discrepancies and system failures relating to specific standards of care that were consistently disregarded by specific care providers.
06/2012 to 05/2014 Physical Evaluation Board Liaison Center DOD, Tripler Army Medical Center | City, STATE,
  • Demonstrated expert ability in communication by coordinating, preparing, and delivering IDES briefings and presentations to 20-40 patients, their families, and their commanders that covered applications and processes, specifically medical disability evaluation board processes, regulations, and procedures.
  • Identified multiple sources of data and transformed data into reports to tell the story and tailor presentations as need for audience and purpose, as evidenced through weekly IDES briefings and presentations to service members, their leaders, and other subject matter experts.
  • Expert knowledge of relevant industry regulations and regulatory compliance in a specific area as evidenced in developing department wide standard operating procedures for disability processing through IDES and TDRLs.
  • Superior knowledge in laws and regulations as evidenced in correcting island-wide misinformation disseminated by other subject matter experts regarding the pay formula used in compensating retiring soldiers processed through IDES.
Education and Training
Expected in 2003 J.D. | Law Louisiana State University, Baton Rouge, LA, GPA:

Average: 3.2/4.0; Class Rank: 23/183, 12.5%

Expected in 05/2003 Bachelor of Civil Law | Louisiana State University, Paul M. Herbert Law Ce, Baton Rouge, LA, GPA:
Expected in 12/1999 Bachelor of Science | Elementary Grades Education Louisiana State University, Baton Rouge, LA, GPA:

Average: 3.8/4.0, Magna Cum Laude

Accomplishments
  • Licensed to Practice Law in Texas, Louisiana, and Colorado.

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Resume Overview

School Attended

  • Louisiana State University
  • Louisiana State University, Paul M. Herbert Law Ce
  • Louisiana State University

Job Titles Held:

  • Senior Contract Advisor
  • Attorney
  • Staff Attorney
  • Physical Evaluation Board Liaison Center

Degrees

  • J.D.
  • Bachelor of Civil Law
  • Bachelor of Science

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