April Schroth
Kansas City,MO
Summary
Experienced insurance professional with a 15 year career assessing the extent and causation of injuries, determining liabilities and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.
Overview
23
23
years of professional experience
Work History
Workers Compensation Claims Adjuster
Broadspire
Overland Park
03.2022 - 08.2023
- Prepared detailed reports on claim findings including all pertinent information such as injury description, cause of accident, employer responsibility, and liability.
- Educated employers on best practices for minimizing risks associated with workplace accidents.
- Calculated amounts owed to claimants and issued company checks for appropriate compensation to close claims completely.
Workers Compensation Claims Adjuster
Falls Lake Insurance Company
Raleigh, NC
04.2020 - 02.2022
- Investigated workers' compensation claims to determine eligibility and extent of coverage.
- Once claim was ready for closure, I settled claims that were in non-litigated status and moved them forward to select defense attorney to set for trial. Cases that were litigated, were assigned to appropriate defense and settled within my given Authority
- Counseled clients regarding their rights under applicable laws pertaining to workplace injuries.
Claims Manager
CorVel Corporation
Overland Park, KS
02.2019 - 04.2020
- Indemnity Adjuster for multi-jurisdictions, reviewed medical reports, defense strategies, ensure prompt return to work, issue benefits timely and appropriately.
- Prepared detailed reports on claim status and activities for management review.
- Processed appeals from denied claims according to established procedures while ensuring compliance with applicable laws and regulations.
Field Case Manager
AMERISAFE RISK SERVICES, INC
DeRidder, LA
08.2016 - 02.2019
- Worked as a field investigator which entailed face-to-face interviews with injured workers and employers.
- Took photographs and wrote out a concise summary of pertinent claim facts in the prescribed company format.
- Coordinated transportation for clients who lack access or are unable to utilize public transportation. Located specialists in remote areas and assigned field or telephonic nurse case management to ensure appropriateness of care.
Claims Adjuster
Sedgwick
Peoria, IL
07.2014 - 08.2016
- Remote worker responsible for investigating worker's compensation claims from beginning to end
- I handled multiple jurisdictions including Missouri, Kansas and Iowa
- Claims were assigned to me as a result of one or more of the following reasons, lost Time, compensability issues, subrogation potential, litigation or traumatic injury.
Claims Analyst
SWISS RE
Overland Park, KS
01.2008 - 01.2013
- Developed detailed reports on key performance indicators related to reinsurance operations.
- Performed quantitative analysis of existing and proposed reinsurance structures including risk transfer mechanisms, aggregate limits, excess layers.
- Created databases containing relevant information such as policy details, claims history.
Claims representative
ESIS/ACE USA
01.2006 - 01.2008
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
- Processed a high volume of claims efficiently while maintaining quality standards.
Electronic Data Coordinator
ESIS/ACE USA
01.2005 - 01.2006
- Tested new software applications related to database management prior to implementation.
- Reviewed existing datasets for accuracy and completeness before entering it into the system.
Auto Property and Liability Assistant
ESIS/ACE USA
01.2004 - 01.2005
- Negotiated with claimants and attorneys on settlement of auto claims.
- Provided customer service to policyholders regarding their auto claims inquiries or concerns.
Worker's Compensation Claims Assistant
ESIS/ACE USA
01.2001 - 01.2004
- Provided customer service to claimants, employers, insurance companies, attorneys. regarding their inquiries or requests for assistance.
- Handled sensitive information in accordance with company policy and HIPAA regulations.
Education
High school -
Harrisonville High School
05.1993
Skills
- Case Management
- Utilization Review
- Relationship Building
- Team Building
- Time Management
- Filing
- Inventory
- Sales
- Training
- Leadership
- Customer Service
- Medical Billing
- Assessments
- Memorization & Recall Skills
Additional Information
INS 21, 22 & 23, AIC Course Study and Completion, Three-Day Extensive Claims Skill Development and Training, Yearly Attendance to Worker's Compensation Seminar
References
References available upon request.
Timeline
Workers Compensation Claims Adjuster
Broadspire
03.2022 - 08.2023
Workers Compensation Claims Adjuster
Falls Lake Insurance Company
04.2020 - 02.2022
Claims Manager
CorVel Corporation
02.2019 - 04.2020
Field Case Manager
AMERISAFE RISK SERVICES, INC
08.2016 - 02.2019
Claims Adjuster
Sedgwick
07.2014 - 08.2016
Claims Analyst
SWISS RE
01.2008 - 01.2013
Claims representative
ESIS/ACE USA
01.2006 - 01.2008
Electronic Data Coordinator
ESIS/ACE USA
01.2005 - 01.2006
Auto Property and Liability Assistant
ESIS/ACE USA
01.2004 - 01.2005
Worker's Compensation Claims Assistant
ESIS/ACE USA
01.2001 - 01.2004
High school -
Harrisonville High School