Bertha Mayfield

Sr. Claims Examiner

Sedgwick Claims Management

07.1998 - Current

Reduced claim resolution time by conducting thorough investigations and timely decisionmaking.
Collaborated with legal counsel on complex claims, ensuring compliance with regulatory guidelines.
Maintained up-to-date knowledge of industry trends and legislative changes, ensuring accurate claim evaluations.
Enhanced customer satisfaction through prompt communication and comprehensive claim explanations.
Negotiated settlements with claimants, balancing fairness with fiscal responsibility to the company.
Coordinated with medical professionals to obtain necessary documentation for evaluating injury claims accurately.
Mentored new hires during their onboarding process, sharing insights from years of experience as a Senior Claims Examiner.
Developed and maintained relationships with key stakeholders, fostering a cooperative working environment.
Researched claims and incident information to deliver solutions and resolve problems.
Consulted police and hospital records when needed.
Finalized [Type] files for insurance claim payment release.
Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Maintained contact with claimants and attorneys to determine treatment status.
Directed claims negotiations within allowable limit of $[Amount] and supported successful litigations for advanced issues.
Negotiated [Type] settlement agreements to resolve disputes.