BRETT BUCHANAN
Roselle,IL
Summary
Seeking a position that will not only leverage my business education and work experience but also my exceptional customer service skills and work ethic. I am a driven and competitive individual. I take pride in my work and ability to manage competing priorities. I welcome challenges and strive to better myself and those around me.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Sedgwick CMS
Bartlesville , OK
10.2021 - Current
- Handle workers compensation indemnity claims that involve medical treatment, lost time, litigation
- Properly manage claims in most cost effective manner
- Responsible for 100-125 files across multiple jurisdictions and adhere to requirements of all jurisdictions.
- Establish relationships with employees, clients, attorneys and medical providers
- Conduct investigations to determine coverage and compensability by contacting clients, injured workers, medical providers and attorneys
- Determine appropriate reserve amounts for full probable exposure of each file
- Identify suspicious activity indicators, assign surveillance and properly identify fraudulent claims
- Draft settlement offers on litigated claims and conduct settlement offers with non represented employees
- Critically think to complete investigations and determine causality of injuries
- Analyze medical documentation and identify key information pertaining to each claim
- Excellent desk organization and time management skills required
- Was given large claim load of high claims across multiple jurisdictions at accelerated rate compared to peers due to performance and ability to quickly learn and retain information
CCT Representative
The Hartford Insurance Group
Aurora, IL
09.2019 - 10.2021
- Handle a high volume of calls within a virtual contact center to discuss claim status and ensure compliance with policy provisions and state/federal regulations
- Utilize active listening and critical thinking skills to quickly analyze and clearly understand specific requests or customer needs, and then leverage knowledge and resources to provide appropriate solutions
- Act as liaison with other departments to resolve problems
- Share information across department in order to improve processes where there are areas of need
- Handle intake of commercial and personal auto, commercial and personal property, general liability and workers compensation claims
- Achieved an exceeding score in my second year review for my work within the team and in the department.
- Scored above benchmark in all three metrics tracked for performance and was in the top percentile quality rating.
NATATORIUM INSTRUCTIONAL ASSISTANT
Glenbrook North High School
01.2018 - 01.2019
- Manage $11 million Natatorium which is a multi-use aquatic center including: fully functional competition pool, educational pool, locker rooms, offices, and observation facilities
- Assist physical education staff in daily classes while acting as Assistant Coach for boy's and girl's swimming
- Provided scheduling of pool time use for classes and after school activities
- Increased overall efficiency and organization of aquatics facility
DEAN'S OFFICE INSTRUCTIONAL ASSISTANT
Glenbrook North High School
01.2015 - 01.2018
- Assist Dean's office in offering support during in-school and at community-based academic settings
- Collaborate with Dean's office to provide academic, social, and emotional support to students
- Assistant Coach for multiple sports including baseball, boy's swimming, and boy's water polo
Education
BACHELOR OF ARTS - BUSINESS MANAGEMENT
WEBSTER UNIVERSITY
St Louis, MO2014
Skills
- Verbal and written communication
- Computer skills
- Critical thinking
- Adaptability
- Teamwork
- Self-motivated professional
- Investigation
- Desk Management
- Customer service
- Time Management
Certification
Licensed Workers Compensation Adjuster in:
- Georgia
- North Carolina
- South Carolina
- Florida
- Alabama
- Illinois
- Oklahoma
- Michigan
Timeline
Claims Adjuster
Sedgwick CMS
10.2021 - Current
CCT Representative
The Hartford Insurance Group
09.2019 - 10.2021
NATATORIUM INSTRUCTIONAL ASSISTANT
Glenbrook North High School
01.2018 - 01.2019
DEAN'S OFFICE INSTRUCTIONAL ASSISTANT
Glenbrook North High School
01.2015 - 01.2018
BACHELOR OF ARTS - BUSINESS MANAGEMENT
WEBSTER UNIVERSITY