Amy Stone
Tigard,OR
Summary
Results-driven Workers Compensation Area Manager[Job Title] accustomed to overseeing operations with strong attention to detail. History of meeting demanding group objectives through employee training, motivation, and performance management. Working knowledge of optimal practices and safety behaviors for risk management[Area of expertise].
Overview
1
1
Certification
31
31
years of professional experience
Work History
Area Manager
TRISTAR
01.2014 - Current
- Managed client relations, staff development, branch operations, and report distribution to enhance service delivery.
- Oversaw claims administration for local and national accounts, ensuring compliance and efficiency.
- Ensured quality and consistency of work product through systematic reviews and process standardization.
- Conduct claims audits and evaluation of claim files with emphasis on reserves
- Ensure quality and uniformity of work product
- Evaluate loss data and report on loss trends
Claims Manager
Pinnacle Risk Management
01.2010 - 01.2014
- Reviewed claims for compliance with client service agreements and best practices, ensuring adherence to standards.
- Reviewed claims to ensure compliance with client service agreements and best practices.
- Coordinated responses to audits from state, clients, and brokers, facilitating compliance and transparency.
- Served as liaison between client and state agencies, resolving claims and program issues effectively.
Senior Claims Examiner
Liberty Mutual
01.1999 - 01.2010
- Served as Senior Claims Examiner for various Washington self-insured clients. Evaluated claim compensability, conducted investigations, facilitated return to work, assessed vocational obligations, and managed litigated cases for national and regional self-insured employers.
- Reviewed complex casualty and liability claims for coverage, liability, and reserve accuracy.
- Investigated claim details, analyzed policy language, and determined appropriate settlement direction.
- Negotiated claim resolutions with attorneys, adjusters, and policyholders while protecting company interests.
Auditor/Claims Coordinator
Johnston and Culberson, Inc.
01.1996 - 01.1999
- Supervised and trained Washington State claims assistants while verifying all aspects of their job duties.
- Conducted financial and operational audits to verify compliance with internal controls and regulatory requirements.
- Reviewed account records, journal entries, and supporting documentation for accuracy and completeness.
- Identified control deficiencies and documented audit findings for management review.
Education
B.A. - Sociology
Western Washington University
BellinghamSkills
- Staff development
- Staff management
- Goals and performance
- Performance management
- Operations
- Claims auditing
- Stakeholder management
- Team leadership
Affiliations
- State of Washington Workers’ Compensation certification - 1999 to present
- State of Oregon Workers’ Compensation certification - 2003 to present
- Washington Workers’ Compensation Professional 2004 to present
Certification
- State of Washington Workers’ Compensation certification - 1999 to present
- State of Oregon Workers’ Compensation certification - 2003 to present
- Washington Workers’ Compensation Professional 2004 to present
Personal Information
Title: Area Manager-Workers Compensation
Timeline
Area Manager
TRISTAR
01.2014 - Current
Claims Manager
Pinnacle Risk Management
01.2010 - 01.2014
Senior Claims Examiner
Liberty Mutual
01.1999 - 01.2010
Auditor/Claims Coordinator
Johnston and Culberson, Inc.
01.1996 - 01.1999
B.A. - Sociology
Western Washington University