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Attorney/legal Analyst Resume

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Boston, MA

SUMMARY:

  • Delivering Excellence in Regulatory Compliance, Process Improvement, and Quality Assurance
  • Accomplished Compliance & Legal Professional with extensive experience advising organizations on operating procedures and business practices in compliance with state and federal regulatory requirements.
  • Leverage unique combination of legal knowledge and business acumen to fuel success.
  • Licensed attorney able to demonstrate influential leadership, client relations and advocacy, and consensus building to achieve results.
  • Effective in researching and analyzing rules and regulations and devise high - impact strategies to mitigate risk.

AREAS OF EXPERTISE:

  • Legal and Compliance Review & Analysis
  • Contract Review
  • Complaint Resolution
  • Adjudication
  • Risk Mitigation
  • Regulatory Compliance
  • Strategic Planning
  • Process Improvement
  • Quality Assurance
  • Consumer Privacy
  • Fraud Prevention & Mentoring
  • Performance Management
  • Operational Procedures

PROFESSIONAL EXPERIENCE:

Confidential, Boston, MA

Attorney/Legal Analyst

Responsibilities:

  • Successfully monitored and implemented compliance-related activities across the organization.
  • Negotiating, drafting, revising and analyzing the contracts.
  • Drove contractual compliance by analyzing financial data including cash collections, payments, loans, premiums, dividends, and claims.
  • Interpreted business/legal documents involving corporations, nonprofits, LLPs, and partnerships, formation, legal requirements for conducting business, and rights and responsibilities for conducting business in MA.
  • Streamlined and expedited workflow processes by eliminating work redundancies.
  • Ensured compliance with State insurance laws by evaluating insurance regulations, codes, and sales practices.
  • Crafted claim summary decisions and reviewed settlement documents for accuracy; successfully directed arbitration cases to settlement.
  • Leveraged extensive knowledge of financial vehicles, privacy, disclosure, fraud prevention, and regulations in the insurance, securities, and financial services industry.

Quality Assurance Coach

Confidential

Responsibilities:

  • Introduced new guidelines and material for multinational call centers to ensure compliance with laws, improve customer experience, and customer satisfaction.
  • Conducted call quality assurance and coached customer service representatives to enhance product knowledge, improve active listening/interpersonal skills, optimize customer engagement, and career growth.
  • Led team meetings on management reporting goals, statistics, compliance, and suggestions for improvement.
  • Achieved a 10% reduction of multi-million dollar resolution by expediting a large value project; aligned the project with strict timelines, addressed customer complaints, and utilized an automated process with more robust controls.
  • Reduced call queues and long wait times to improve customer experience, reduce time per call, and cut costs.

Confidential, Boston, MA

Risk Management & Audit Consultant

Responsibilities:

  • Successfully conducted departmental payment audits for long-term care insurance benefit claim payments to ensure accuracy in eligibility determinations.
  • Addressed and resolved to assist customers with insurance issues.
  • Collaborated and interfaced with cross-functional leadership teams to drive continuous improvement, and development, and workflow optimization.
  • Facilitated performance management initiatives by assisting management with evaluation, development planning, and salary adjustments; generated and delivered individual and departmental monthly performance reporting.

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