Andrea Vazzano
Mosinee,WI
Summary
Result and goal-oriented Workers' Compensation Insurance Professional with 23 years of claims experience. Currently focused on managing complex caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering knowledge in multiple jurisdictions and willingness to take on any new ones as business needs arise.
Overview
24
24
years of professional experience
Work History
Technical Claims Specialist II
LIBERTY MUTUAL INSURANCE COMPANY
11.2008 - Current
- Investigates complex claims to determine whether coverage is provided, establish compensability and verify exposure
- Manages a high volume of complex claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Utilized appropriate cost containment techniques to reduce overall claim costs.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Achieve performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Excellent communication skills, both verbal and written.
- Proven ability to learn quickly and adapt to new situations.
- Proved successful working within tight deadlines and a fast-paced environment.
- Organized and detail-oriented with a strong work ethic.
- Resolves complex claims within authority and makes recommendations regarding case value and resolution strategy management.
- Consult and engage all resources as needed to include Examining, Critical Case Management Nurses, Loss Recovery Unit, Special Investigation Unit, to obtain the best target outcomes.
- Participates in pricing, reserving and strategy discussions with all necessary resources on cases which exceed settlement authority.
- Settles complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies including those involving litigation, Medicare Set-Asides, Structures with professional administration and reversionary interest.
- Pending 120-130 all high exposure, complex, litigated files
- WC Jurisdictions: MN, WI 2 years
- WC Jurisdictions: NY, NJ 8 years
- WC Jurisdictions: IL, MO, KS, MI, IN, IA, NE 5 years (Current)
Senior Claims Representative
Sentry Insurance Group
05.2000 - 05.2008
- Investigated, managed, and resolved Workers' Compensation claims including those involving litigation and Medicare Set-Asides
- Partnered with cross-functional team to coordinate and implement Return to work programs for customers to help minimize losses.
- Collaborated with business partners including loss recovery unit, nurse case managers, Staff and outside Counsel to mitigate costs, secure a timely return to work and achieve a successful resolution of the claim file.
- Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
- Mentored new hires on company policies and procedures, fostering a productive work environment within the team.
- Managed time efficiently in order to complete all tasks within deadlines.
- Applied effective time management techniques to meet tight deadlines.
- Organized and detail-oriented with a strong work ethic.
- Worked effectively in fast-paced environments.
- Claims Pending 170-180. Litigated and Indemnity.
- WC Jurisdictions: TX, OK, AL, LA, MS, USL&H
Education
Licensure: Connecticut Casualty Adjuster-All Lines -
State of Connecticut
SCLA - Insurance Coverage And Claims Law
American Educational Institute
Self Study2017
Bachelor of Arts - Exercise & Sports Science
Carthage College
Kenosha WI 05.1998
High School Diploma -
Marengo Community High School
Marengo IL 05.1994
Skills
- Accident investigations
- Policy analysis
- Coverage assessments
- Medical documentation review
- Settlement determinations
- Negotiation proficiency
- Teamwork and Collaboration
- Decision-Making
- Claims analysis
- Organizational Skills
- Multitasking Abilities
- Customer Service
- Analytical and Critical Thinking
- Self-Directed
- Interpersonal Communication
- Time Management
- Result Driven
- Team Player
Timeline
Technical Claims Specialist II
LIBERTY MUTUAL INSURANCE COMPANY
11.2008 - Current
Senior Claims Representative
Sentry Insurance Group
05.2000 - 05.2008
Licensure: Connecticut Casualty Adjuster-All Lines -
State of Connecticut
SCLA - Insurance Coverage And Claims Law
American Educational Institute
Bachelor of Arts - Exercise & Sports Science
Carthage College
High School Diploma -
Marengo Community High School
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