Cathy Gist
Fort Meade,FL
Summary
Accomplished Senior Workers' Compensation Claims Adjuster.
Experienced with assessing and processing workers' compensation claims efficiently. Utilizes analytical and negotiation skills to reach fair settlements and maintain compliance with policies. Knowledge of regulatory standards and exceptional customer service, ensuring fair and timely resolutions.
Overview
27
27
years of professional experience
Work History
Senior Workers' Compensation Claims Adjuster
Employers Insurance Group
Maitland, FL
08.2022 - 06.2025
- Advised clients on claim status, coverage options, and benefits, ensuring clear communication throughout the process.
- Mentored junior adjusters in effective claims handling practices, fostering a collaborative team environment.
- Developed training materials for new staff, enhancing onboarding experience and promoting best practices in claims management.
- Led initiatives to streamline workflows, resulting in reduced turnaround times for claim approvals and payments.
- Examined claims forms and other records to determine insurance coverage.
Legal Adjuster
Johns Eastern
Lakewood Ranch, FL
09.2013 - 07.2022
- Evaluated claims to determine coverage and liability, ensuring compliance with company policies.
- Collaborated with clients to gather necessary documentation for claim processing and resolution.
- Conducted thorough investigations of claims to identify fraud or discrepancies in reported incidents.
- Negotiated settlements with policyholders, balancing client satisfaction and company interests effectively.
- Communicated regularly with stakeholders to provide updates on claim status and next steps required.
- Documented findings in detailed reports, maintaining accuracy and consistency throughout the claims process.
Workers' Compensation Claims Adjuster
CorVel
Tampa, FL
06.2010 - 08.2013
- Evaluated and processed workers' compensation claims, ensuring compliance with state regulations and company policies.
- Collaborated with medical professionals to assess treatment plans and determine appropriate claim outcomes.
- Analyzed claim documentation for accuracy and completeness, enhancing overall efficiency in claims processing.
- Communicated effectively with claimants to provide updates and resolve inquiries regarding their claims status.
- Managed case files using proprietary software systems to track claim progress and maintain organized records.
- Conducted thorough investigations of claims, gathering evidence to support decision-making processes.
Workers' Compensation Claims Adjuster
Heritage Consultants
Auburndale, FL
06.2007 - 05.2010
- Evaluated and processed workers' compensation claims, ensuring compliance with state regulations and company policies.
- Collaborated with medical professionals to assess treatment plans and determine appropriate claim outcomes.
- Analyzed claim documentation for accuracy and completeness, enhancing overall efficiency in claims processing.
- Communicated effectively with claimants to provide updates and resolve inquiries regarding their claims status.
Senior Workers' Compensation Claims Adjuster
Summit Consulting
Lakeland, FL
04.1998 - 05.2007
- Evaluated and processed complex workers' compensation claims to ensure compliance with regulations and policies.
- Collaborated with medical providers to obtain necessary documentation and facilitate timely claim resolutions.
- Investigated claims thoroughly, gathering evidence and interviewing involved parties to determine liability.
- Analyzed claim data to identify trends, recommending process improvements for enhanced efficiency and accuracy.
Education
Legal Studies
University of Central Florida
Orlando, FLAssociate Of Arts -
Polk State College
Winter Haven, FLSkills
- Organizational growth
- Critical thinking
- Continuous learning mindset
- Strong analytical mind
- Teamwork and collaboration
- Claims investigation
- Multitasking
- Board certified in Workers' Compensation
Timeline
Senior Workers' Compensation Claims Adjuster
Employers Insurance Group
08.2022 - 06.2025
Legal Adjuster
Johns Eastern
09.2013 - 07.2022
Workers' Compensation Claims Adjuster
CorVel
06.2010 - 08.2013
Workers' Compensation Claims Adjuster
Heritage Consultants
06.2007 - 05.2010
Senior Workers' Compensation Claims Adjuster
Summit Consulting
04.1998 - 05.2007
Legal Studies
University of Central Florida
Associate Of Arts -
Polk State College