Carolyn Cole
Menifee,CA
Summary
Experienced operations and team leadership professional with a strong background in managing complex cases and supervising staff in regulated environments. Delivers process improvements and adapts swiftly to new challenges. Ready to leverage leadership and analytical skills to drive value in a dynamic organization.
Overview
25
25
years of professional experience
Work History
Workers’ Compensation Claims Supervisor
State Compensation Insurance Fund
Riverside, USA
04.2013 - 05.2026
- Led and supervised team of claims professionals, driving consistent performance and adherence to organizational standards
- Reviewed complex cases and evaluated risk, making critical decisions to mitigate financial exposure and enhance service outcomes
- Recruited, trained, and mentored staff, fostering skill development and compliance awareness to support career growth
- Collaborated with legal, medical and external partners to resolve issues and meet organizational goals
- Prepared reports, analyzed trends, and communicated findings to leadership
Senior Workers’ Compensation Claims Adjuster
State Compensation Insurance Fund
08.2001 - 04.2013
- Managed a caseload of approximately 150 workers’ compensation claims
- Conducted thorough investigations including recorded statements, medical review, and wage analysis
- Established reserves and adjusted based on claim developments to ensure accurate financial forecasting.
- Provided timely and accurate benefits
- Negotiated settlements with claimants and attorneys, reducing overall claim costs by [%]
- Coordinated with nurse case managers to facilitate optimal medical outcomes for injured workers.
- Ensure compliance with state workers’ compensation statutes and reporting requirements.
- Demonstrated calm leadership and fairness while managing high-pressure claims situations.
- Completed timely settlement workups and negotiated settlements with injured workers and attorneys
Education
Bachelor of Arts Degree -
California State University
San BernardinoSkills
- Risk assessment
- Policy compliance
- Customer & Stakeholder Relations
- Documentation & Reporting
- Workflow optimization
- Training & Knowledge Transfer
- Cross-Functional Collaboration
- Time & Priority Management
- Team Leadership & Coaching
- Conflict resolution
- Technology learning
- Quick learning
Timeline
Workers’ Compensation Claims Supervisor
State Compensation Insurance Fund
04.2013 - 05.2026
Senior Workers’ Compensation Claims Adjuster
State Compensation Insurance Fund
08.2001 - 04.2013
Bachelor of Arts Degree -
California State University