Conner Lee
Cross Kick Fitness
Crystal Lake,IL
1
Certification
5
years of professional experience
Workers’ Compensation Claims Professional with 4.5 years of progressive experience managing complex claim loads, coordinating medical and disability benefits, conducting investigations, and working with employers, medical providers, attorneys, and injured workers to move files to settlement and or closure. Experienced in claim strategy, reserve evaluation, litigation management, return-to-work coordination, and regulatory compliance. Proven ability to independently manage high-volume caseloads while balancing customer service, financial exposure, and timely claim resolution.
Work History
Sr. Claims Examiner - Workers Compensation
1 Year 10 Months- Manage a caseload of approximately 130 workers’ compensation claims across 7 employer accounts.
- Investigate new claims and make timely compensability determinations based on jurisdictional requirements and available evidence.
- Develop and maintain action plans addressing medical treatment, disability exposure, litigation, reserves, and claim resolution.
- Evaluate medical documentation, work status reports, wage information, and investigative findings to determine appropriate benefits.
- Participate in claim reviews with client contacts to provide updates on files and formulate plans to move files to closure.
- Maintain accurate claim documentation while meeting internal and statutory deadlines.
- Coordinate with employers, injured workers, medical providers, attorneys, nurse case managers, and other claim stakeholders.
Part-time Head Coach / Personal Trainer
2 Years 11 Months- Cultivated positive client relationships, encouraging retention and satisfaction through personalized support.
- Work with new coaches to show how gym operations run and what a routine shift looks like.
- Led team of trainers, fostering collaboration and enhancing performance standards.
- Coordinated group classes, ensuring engaging and safe environments for all participants.
- Developed athletes'' skills through personalized coaching, resulting in higher individual achievements.
Claims Examiner
2 Years 2 Months- Reviewed medical documentation and worked with nurse case managers to establish treatment timelines for injured workers, authorize necessary treatments and surgeries for recovery.
- Coordinated litigated claims with defense counsel and participated in settlement evaluation and resolution.
- Conducted recorded statements and gathered medical, employment, and accident information to evaluate compensability.
- Participated in claim reviews employer representative to provide claim updates and develop return-to-work strategies.
- Maintained timely diaries, documentation, correspondence, and claim action plans.
- Managed workers’ compensation claims from initial investigation through resolution.
- Created plans of action and set aside reserves on each claim to pay for medical bills, lost time benefits, and other expenses.
- Worked on complex injury and large loss claims at times.
Lost Time Workers Compensation Claims Adjuster
1 Year 1 Month- Reviewed medical documentation and inputted specific information from those documents to claim files to show a timeline of treatment for the injured worker and authorized any treatment and or surgery that was necessary for recovery.
- Compiled and reviewed information to determine compensability of claims.
- Maintained ongoing communication with all parties involved in claims management, ensuring clarity throughout the handling of open, denied, or suspended claims.
- Maintained communication with all parties associated with the claim throughout the handling of the open, denied or suspended claim.
- Developed action plans to allocate reserves for medical bills, lost time benefits, and other expenses on each claim.
- Worked on complex injury and large loss claims at times.
Education
Bachelor of Arts - Criminal Justice Studies
- Minor in Psychology
- Minor in Sociology
- 3.14 GPA
- Academic Scholarship of Character Recipient
- Iowa State Academic Adventure Scholarship Recipient
- Mayo Clinic Academic Achievement Scholarship Recipient
Skills
Claims management
Claim Investigation & Compensability
Settlement Evaluation
Reserve Analysis
Caseload management
Litigation Management
Employer & Client Communication
Team Collaboration
Effective Communication
Adaptability
Certification
Texas Insurance License - Workers Comp DHS TX
Florida Insurance License - Adjuster (General Lines-All)
NCSF - Certified Strength Coach
Accomplishments
- Iowa State Hockey Team Sportsmanship Award: 2018 and 2019
- Iowa State Hockey Team Rookie of the Year: 2017
- Minnesota Hockey Hobey Baker Character Award: 2016
- John Marshall High School Hockey Team Captain: 2016
Timeline
Sr. Claims Examiner - Workers Compensation
Broadspire
10.2024 - CurrentRead More
Part-time Head Coach / Personal Trainer
Cross Kick Fitness
09.2023 - CurrentRead More
Claims Examiner
Sedgwick CMS
07.2022 - 09.2024Read More
Lost Time Workers Compensation Claims Adjuster
Berkshire Hathaway
05.2021 - 06.2022Read More
Iowa State University
Bachelor of Arts from Criminal Justice Studies
Read More