Open To Work
Cherie Vallejo
Las Vegas
Summary
Workers’ Compensation Claims Leader with 8+ years of experience in claims management, litigation oversight, TPA performance, and team development. Proven ability to lead high-performing teams, drive compliance with regulatory standards, and improve claim quality, timeliness, and financial outcomes. Experienced in managing complex, high-exposure claims, coaching adjusters, and partnering with clients and legal teams.
Overview
8
8
years of professional experience
Work History
Workers’ Compensation Supervisor
Gallagher Bassett
01.2026 - Current
- Lead a team managing workers’ compensation claims for a high-volume transportation account, ensuring compliance with state regulations and client expectations
- Stabilized newly onboarded account by implementing structured workflows and compliance-driven claim handling standards
- Drove accountability through coaching and real-time direction to address execution gaps in investigation quality
- Partnering with clients, safety managers, and legal stakeholders to align claim strategy and reduce exposure
- Identified operational inefficiencies and implemented process improvements to enhance consistency and compliance
Auto Claims Team Manager
Kemper Insurance
01.2025 - 01.2026
- Led a high-performing team of non-standard auto claims adjusters, consistently meeting and exceeding key performance metrics including quality, contact compliance, and cycle time
- Improved claim handling performance through targeted coaching, structured development plans, and real-time feedback, enhancing team effectiveness
- Managed team productivity and inventory by implementing workflow prioritization, resulting in improved diary compliance and reduced backlog
- Oversaw reserves, claim strategy, and escalated matters including DOI complaints, litigation coordination, and complex coverage determinations
- Collaborated with legal, SIU, compliance, and vendors to support investigations and mitigate risk, ensuring thorough resolution of complex claims
- Analyzed data and KPI reports to identify trends and address performance gaps, fostering continuous improvement initiatives
- Conducted detailed file reviews and audits, ensuring adherence to regulatory standards, internal guidelines, and best practices
Claims Manager – Risk Management (Workers’ Compensation)
Clark County School District
01.2024 - 01.2025
- Managed workers’ compensation program for large public entity, overseeing TPA performance and internal claims examiners to ensure compliance and effective claim outcomes
- Managed a high-volume, multi-location workforce environment, ensuring consistent application of workers’ compensation policies and procedures across departments
- Directed claim strategy across a diverse workforce, partnering with HR, department leaders, and multiple work locations to address injury management, return-to-work planning, and ADA accommodation considerations
- Oversaw TPA handling of claims, conducting audits and performance reviews to ensure adherence to regulatory requirements, service expectations, and best practices
- Reviewed and approved reserves and settlements on complex, high-exposure claims, ensuring financial accuracy and appropriate risk mitigation
- Collaborated with defense counsel and internal stakeholders to develop litigation strategies and drive claim resolution
- Facilitated communication among HR, legal, risk management, and external partners to align claims handling with employee accommodations
- Identified trends and operational gaps within program, implementing corrective action plans to improve claim quality and enhance program performance
- Developed and delivered training to HR and internal teams on workers’ compensation processes, compliance requirements, and effective claim management practices
Workers’ Compensation Claims Specialist
Travelers Insurance
01.2021 - 01.2024
- Managed complex and litigated workers’ compensation claims, ensuring timely investigations, accurate reserving, and strategic resolutions
- Led investigations, evaluated compensability, and developed strategies to mitigate exposure and control costs effectively
- Collaborated closely with legal counsel, medical providers, and employers to drive claim resolution and improve outcomes
- Identified fraud indicators, partnered with SIU and vendors to support investigations, and reduce risk
Auto Claims Advisor / Team Lead
CSAA Insurance (AAA)
01.2018 - 01.2021
- Led a team of adjusters, overseeing daily operations, workload distribution, and performance management in a high-volume claims environment
- Consistently met and exceeded team performance goals related to quality, customer experience, and claim cycle time
- Served as escalation point for complex claims, facilitating resolution through negotiation, mediation, and customer-focused strategies
- Analyzed claim trends and team metrics to identify gaps and implement process improvements enhancing efficiency and consistency
- Conducted file audits and provided coaching to enhance technical claim handling, coverage analysis, and negotiation skills
- Partnered with leadership to support training initiatives, onboarding, and development of new hires to strengthen overall team performance
Education
Bachelor of Science - Healthcare Management
Southern New Hampshire University
Skills
- Claims Investigation & Coverage Analysis
- Litigation Management
- Negotiation & Settlement Strategy
- Medical & Legal Knowledge
- Quality Assurance & Auditing
- Performance Metrics & Reporting, Tableau
- Guidewire
- Origami Risk
- Salesforce
- Oracle
- NICE
- Zendesk
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteHybridSalary Range
$100000/yr - $174000/yrTimeline
Workers’ Compensation Supervisor
Gallagher Bassett
01.2026 - Current
Auto Claims Team Manager
Kemper Insurance
01.2025 - 01.2026
Claims Manager – Risk Management (Workers’ Compensation)
Clark County School District
01.2024 - 01.2025
Workers’ Compensation Claims Specialist
Travelers Insurance
01.2021 - 01.2024
Auto Claims Advisor / Team Lead
CSAA Insurance (AAA)
01.2018 - 01.2021
Bachelor of Science - Healthcare Management
Southern New Hampshire University