Navigating Long-Term Care Insurance Claims

Anne’s professional career began as a volunteer EMT for Post 53-Darien Emergency Medical Services at 14 years old. She went on to earn a Bachelor of Science Degree with a major in nursing. After college, she joined Yale New Haven Hospital, in New Haven, CT as a surgical trauma nurse and then the Branford, CT Visiting Nurses Agency, where she was a case manager and a clinical supervisor. Towards the end of her six years at the agency, Managed Care Insurance companies started to have a major impact on healthcare in New England. This led Anne to become a Utilization Review Nurse and a Certified Case Manager for Tufts Health Plans in Massachusetts. At Tufts, she worked with physician groups to help them manage their patients’ care prior to and during hospitalizations, at rehabilitation centers or Skilled Nursing facilities, and in the home care setting. In this role, it became clear that support patients throughout their continuum of care resulted in improved quality of care and less stress for patients and their families. It highlighted the complexity of our healthcare system and how important it is for people to have a professional help them to understand their insurance and advocate for the care and the coverage they deserve.

When Anne moved back to Darien, she worked for a Healthcare Advice and Advocacy business, the Director of Consulting. In this position, she provided a range of services: insurance coverage analysis, enrollments, claims management, dispute resolution, benefit maximization, and care management advice and advocacy. She found these client relationships to be extremely rewarding as her service truly made a difference in peoples’ lives. Anne founded decided to start Healthcare Pathfinder when clients, friends, neighbors, and professional acquaintances started referring clients directly to her.