Chad Whitney
Sandy
Summary
Experienced and results-oriented Senior Disability Adjuster with 14 years of expertise in Workers' Compensation and over 20 years in the health insurance industry overall. Brings a proven ability to achieve timely, fair, and cost-effective claim resolutions. Recognized for exceptional organization, attention to detail, and clear, thorough documentation that drives efficient claim progression. Offers strong analytical and interpersonal skills, ensuring accurate decision-making and fostering solid client relationships that support business retention and high satisfaction.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Senior Disability Adjuster
WCF Insurance
11.2012 - Current
- Processes Utah Workers' Compensation claims by determining compensability and benefits due on medical and indemnity claims, while monitoring reserve accuracy.
- Develops and manages comprehensive claim action plans from initiation through resolution, coordinates return-to-work efforts, and approves claim payments in compliance with regulatory and contractual requirements.
- Executes action plans aligned with claim strategy and client agreements.
- Communicates claim status and decisions clearly with claimants and clients, both verbally and through formal reporting.
- Ensures all claim files are thoroughly documented and properly coded.
- Maintains strong, professional client relationships to collaborate on solutions and provide guidance to both clients and claimants regarding workers' compensation rules and regulations.
- Resolves disputes through settlements and partners with legal counsel on litigated claims.
Claims Examiner II
Sedgewick CMS
Salt Lake City
04.2011 - 10.2012
- Processed Multi-state workers compensation and long-term disability claims by determining compensability, calculating benefits, and filing required documentation with state agencies.
- Developed and managed claim action plans, coordinated return-to-work efforts, and approved payments.
- Ensured accurate reserves, proper claim coding, and thorough documentation.
- Communicated claim strategies with clients and claimants, maintained strong professional relationships, and supported quality assurance initiatives to deliver consistent, high-quality claims service.
Senior Claims Examiner
Principal Financial Group
Salt Lake City
04.2003 - 04.2011
- Processed multi-state medical claims and appeals with strong attention to detail across various correspondence types, including coordination of benefits, and secondary payer determinations.
- Maintained 99.5%+ accuracy through regular audits, and ensured timely, compliant claim handling in accordance with plan provisions and state/federal regulations, including the Medicare Secondary Payer Act.
- Experienced in processing Medicare Secondary Payer (MSP) claims, ensuring compliance with CMS guidelines, and accurate benefit coordination.
- Conducted quality assurance reviews of peer work to ensure that appeals and correspondence were managed promptly and accurately.
- Maintained strong relationships with policyholders, and frequently traveled to support annual employee benefit implementations.
Education
Associate in Science (A.S.) - Business Candidate
Salt Lake Community College
Salt Lake12.2026
High School Diploma -
Olympus High School
Salt Lake06.1997
Skills
- Communication
- Critical Thinking
- Informal Leadership
- Customer service
- Problem-solving
- Multitasking and organization
- Team collaboration
- Active listening
- Decision-making
- Verbal and written communication
- Microsoft Office Products
Certification
Resident Independent Adjuster
Accomplishments
- Above And Beyond award - Nominated by peers for team work and great customer service
Timeline
Senior Disability Adjuster
WCF Insurance
11.2012 - Current
Claims Examiner II
Sedgewick CMS
04.2011 - 10.2012
Senior Claims Examiner
Principal Financial Group
04.2003 - 04.2011
Associate in Science (A.S.) - Business Candidate
Salt Lake Community College
High School Diploma -
Olympus High School
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