Amy E. Todd
Senior Workers Compensation Adjuster
Satellite Beach,FL
Summary
All Lines Adjuster with 30+ years handling of Workers Compensation claims. Team player, client oriented and goal driven to achieve the best outcome for the injured worker and clients. Seeking to contribute to a company's success while pursuing professional growth and opportunities for advancement.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Field Case Manager
Amerisafe
02.2025 - Current
- Field Case Manager handling high exposure lost time litigated claims.
- Responsibilities include site visits and in person recorded statements with the injured worker and witnesses within FCM jurisdiction.
- Responding to all legal correspondence to include Request to Produce and Petition for Benefits.
- Attending all Mediations.
- Paying timely indemnity and medical payments.
- Scheduling physician appointments, scheduling PT, approving DME, Rx and any other related testing ordered by the authorized physician.
- Documenting claim notes with medical updates and claim related updates as needed to keep the claim up to date.
- Preparing CNR report every 45 days and reviewing reserves to support exposure and possible overall settlement.
- Updating clients with current status of claims and keeping them informed of any changes.
Senior Lost Time Adjuster
CorVel Corporation
10.2023 - 02.2025
- Handing lost time litigated claims in FL jurisdiction.
- Completing three-point contacts and investigate to determine compensability to include recorded statements.
- Setting reserves to support exposure of the claim.
- Paying timely indemnity benefits to the injured worker.
- Attending depositions, mediations and hearings.
- Documenting the file and communicating with the client claim activity.
- Scheduling medical appointments, reviewing medical records.
- Scheduling diagnostic studies, prescriptions, DME and approving surgeries along with post-operative care.
- Determining if there is Subrogation potential and pursuing 3rd party recovery.
- Assigning nurse case manager if needed to assist with coordinating care for injured workers.
- Preparing claim reports every 90 days.
Senior Workers Compensation Adjuster
Benchmark Administrators
10.2022 - 10.2023
- Handing lost time litigated claims in FL jurisdiction.
- Confirming coverage.
- Completing three-point contacts and investigate to determine compensability to include recorded statements.
- Setting reserves to support exposure of the claim.
- Paying timely indemnity benefits to the injured worker.
- Attending depositions, mediations and hearings.
- Documenting the file and communicating with the client claim activity.
- Scheduling medical appointments, reviewing medical records.
- Scheduling diagnostic studies, prescriptions, DME and approving surgeries along with post-operative care.
- Determining if there is Subrogation potential and pursuing 3rd party recovery.
- Assigning nurse case manager if needed to assist with coordinating care for injured workers.
- Preparing claim reports every 30-90 days.
- Reporting to Excess Carrier when due.
- Reviewing files for closure.
Senior Workers Compensation Adjuster
Sedgwick
11.2021 - 10.2022
- Handling high volume lost time litigated claims for multi-jurisdictions.
- Completing three-point contacts.
- Verifying coverage.
- Reserving for most likely outcome.
- Pay indemnity benefits to injured workers.
- Obtain recorded statements; assign surveillance and nurse case manager as needed.
- Attending depositions, mediations and hearings to negotiate settlements.
- Document and communicate all claims activities.
- Review medical records; authorize surgeries, prescriptions and schedule medical or diagnostics appointments.
- Identify when files are due for excess reporting or need to be assigned to Subrogation Dept.
- Filing State forms timely.
- Reporting every 45-90 days to update claim activity per Best Practices.
- Proactively reviewing for files closure potential.
Senior Resolutions Manager
Gallagher Bassett Services Inc.
07.2012 - 11.2021
- Responsibilities include handling multi-jurisdiction lost time litigated workers compensation claims.
- Initial contacts, investigation and determination of compensability, timely compensation payments.
- Reserving claims for most likely outcome.
- Authorizing payment of medical bills to authorized providers.
- Timely response to all legal issues to include Request to produce and Petition for Benefits.
- Must attend and prepare for all Mediations, Depositions and Hearings.
- Preparing for quarterly claim reviews. Reviews were live in person or by phone with clients to provide updates on claims and make recommendations on how to resolve.
- Review for exposure and make settlement recommendation.
- Resolve issues and limit exposure for legal fees.
- Handling large volume of COVID 19 claims from municipality and skilled nursing facility making recommendations to Task Force/Client/Carrier for acceptance or denial.
- Reporting to Excess Carrier when due.
- Reporting every 45-90 days and reviewing for timely closures per Best Practices.
Senior Workers Compensation Adjuster
Zurich North America
06.2004 - 06.2009
- Responsibilities include handling lost time litigated Workers' Compensation claims for preferred accounts.
- Responsibilities also include initial contacts, investigation and determination of compensability and coverage.
- Timely compensation payments, authorizing payment of medical bills, authorization of providers.
- Timely response to any and all legal issues.
- Must attend and prepare for all Mediations, Depositions and Hearings.
- Worked with in house legal team.
- Reported to client monthly with full formal reports and meeting with client to discuss issues.
- Travel to meet with clients to improve working relationships.
- Handle Captive accounts and several other large insured's.
Senior Workers Compensation Adjuster
United Self Insured Services/FHM
08.2000 - 04.2003
- Responsibilities include handling lost time litigated Workers' Compensation claims under the Florida Hospitality Mutual Insurance Company.
- Completion of three point contacts, reviewing for subrogation potential.
- Monitoring claims on diary for timely compensation payments, TTD, TPD, PPD, PT/PTS.
- Coordinating medical appointments, authorizing prescriptions, DME, PT, diagnostic testing and surgery and any other related medical treatment.
- Responding to legal issues, settlements and attending local mediations and depositions.
- Reporting to update clients and reviewing for closure.
- Timely reporting to Excess Carriers.
- Reviewing for overall settlement and closure.
Senior Workers Compensation Adjuster
Carson Brooks
08.1998 - 08.2000
- Senior Workers' Compensation Adjuster responsible for handling all aspects or litigated lost time claims including municipality claims.
- Attending Mediations, hearings and depositions for several special accounts.
- Responding to legal issues and negotiating settlements live at Mediation or Hearing.
- Paying indemnity and monitoring reserves.
- Handling caseload of up to 200 lost time claims from 1970 dates of injury.
- Responsible for keeping a 30-day diary on time and expense files to submit caption report and bill to clients.
- Meeting with clients to answer questions and discuss any issues that they may have on specific claims.
- Supervising and monitoring medical only adjuster and training.
- Reviewing for overall settlement and closure.
Workers Compensation Adjuster
General Accident
04.1997 - 06.1998
- Responsible for handling lost time litigated claims. Includes initial setup, initial contacts and investigating compensability.
- Paying timely indemnity and medical benefits.
- Scheduling medical appointments, drafting letters to injured workers.
- Authorizing medical care, Prescriptions, Diagnostic testing, DME and any other related medical treatment to include surgery.
- Working with nurse case managers to timely coordinate care and obtain full duty release.
- Responding to legal issues and negotiating settlements.
- Timely report to Excess Carriers.
- Reviewing for closures.
Workers Compensation Adjuster
Claims Capabilities, Ince.
03.1991 - 04.1997
- Responsible for the handling of lost time Workers' Compensation claims under the Florida Fruit and Vegetable Association Mutual Insurance Company.
- Assisted Lost Time Supervisor in responding to legal issues and daily file maintenance.
- Keeping claims on a monitored diary to pay timely compensation payments.
- Handled claims involving migrant workers in farming industry which included involving multiple injured workers in bus accidents traveling to work location.
- Monitored the medical status of each claim, and worked with in-house Managed Care Team.
Education
Valencia Community College
Orlando, FL Skills
- Excellent customer service skills
- Team player
- Organized and detail oriented
- Able to identify issues, prioritize and find solutions
- Knowledge of Microsoft, Word, Outlook, Excel, Teams, Zoom
- Licensed All Lines Adjuster with experience in multiple jurisdictions to include, FL, GA, AL, NC, SC, TN, LA, KY and VA
Certification
Board Certified Workers Compensation Adjuster.
Timeline
Field Case Manager
Amerisafe
02.2025 - Current
Senior Lost Time Adjuster
CorVel Corporation
10.2023 - 02.2025
Senior Workers Compensation Adjuster
Benchmark Administrators
10.2022 - 10.2023
Senior Workers Compensation Adjuster
Sedgwick
11.2021 - 10.2022
Senior Resolutions Manager
Gallagher Bassett Services Inc.
07.2012 - 11.2021
Senior Workers Compensation Adjuster
Zurich North America
06.2004 - 06.2009
Senior Workers Compensation Adjuster
United Self Insured Services/FHM
08.2000 - 04.2003
Senior Workers Compensation Adjuster
Carson Brooks
08.1998 - 08.2000
Workers Compensation Adjuster
General Accident
04.1997 - 06.1998
Workers Compensation Adjuster
Claims Capabilities, Ince.
03.1991 - 04.1997
Valencia Community College
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