Knowledgeable claims examiner with proven track record in managing complex claims. Demonstrated customer service based problem-solving, consistently delivering positive outcomes.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Senior Resolution Manager
Gallagher Bassett
02.2025 - Current
Handling a Workers Compensation caseload from inception to final settlement, including initial investigation of new claims to compromise and release of future medical claims.
Senior Claims Examiner
Athens Administrators
12.2018 - 02.2025
Handling a Workers Compensation/ 4850 benefits caseload from inception to final settlement, including initial investigation of new workers compensation claims through compromise and release of future medical claims.
Claims Supervisor
Pegasus Risk Management
02.2007 - 01.2018
Provide guidance to ensure all benefits are processed timely; reserves are accurate and review delays/denials to determine if they are appropriate.
Schedule training based on the needs of the team.
Provide status reports, schedule file reviews and updates for brokers and employers providing excellent customer service. Oversee incoming claim set up and assignment to claims team based on experience and knowledge.
Senior Workers’ Compensation Examiner
Handling a Workers Compensation caseload from inception to final settlement, including initial investigation of new workers comp. claims to compromise and release of future medical claims.
Workers’ Compensation Adjuster III
Broadspire, A Crawford Company
01.2003 - 01.2007
Handling a Workers Compensation caseload from inception to final settlement, including initial investigation of new workers comp. claims to compromise and release of future medical claims.
Subrogation Adjuster
Identify third party recovery potential. Analyze cost effectiveness of pursuit. Place adverse party on notice of lien and pursue recovery by monetary recovery, third party compromise and release, credit, or sale of lien.
Liability Adjuster II
Handle liability claims from inception to final settlement of claim. Confirm coverage, investigate claim details, and settle bodily injury and property claims. Clients include insurance company, self insured retention policies, and self insured clients. Personal auto lines, commercial auto lines, auto liability and commercial liability policies.
Education
Associate Of Science - Behavioral Sciences
Merced College
Merced, CA
Associate Of Arts - Child Development
Merced College
Merced, CA
Skills
Claims reviewing
Strategic thinking
Coaching and mentoring
Policy enforcement
Reporting requirements
Claims evaluations
Teamwork
Teamwork and collaboration
Customer service
Problem-solving
Time management
Computer skills
Organizational skills
Certification
Completion of the Self-Insured Administrator’s Exam (Passed)