Brittney Washington

• Provide technical expertise in the handling and management of complex Workers’ Compensation claims involving serious injuries, catastrophic losses, and litigated matters.

• Independently evaluate claim exposure and establish appropriate reserves within assigned authority while continually reassessing financial exposure throughout the life of the claim.

• Manage claim investigations, compensability determinations, medical treatment, return-to-work strategies, and claim resolution activities.

• Coordinate with employers, injured workers, medical providers, attorneys, and other stakeholders to ensure effective claim management.

• Maintain compliance with Texas Workers’ Compensation regulations, carrier guidelines, and internal best practices.

• Determined claim validity, compensability, and appropriate claim handling strategies.
• Established reserves and authorized payments within delegated authority limits.
  Managed complex medical-only and lost-time workers’ compensation claims.
• Analyzed complex claim data to identify trends and recommend process improvements for efficiency.
• Collaborated with medical providers to gather necessary documentation and ensure timely claim resolutions.

Handled claims across Texas, Oklahoma, and Arkansas jurisdictions..

• Evaluated and processed workers' compensation claims for accuracy and compliance with regulations.
• Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.

Transitioned into a role responsible for providing first-hand administrative support to a team of claims adjusters to ensure the accurate processing and management of a high volume of claims.

·Managed communication between clients, adjusters, employers, and medical facilities through medical records requests, contact letters, and inquiry letters.

·Served as the initial point of contact for workers’ compensation claims submitted by the employer. Held accountable for assigning claims to the appropriate adjuster.

·Performed accurate data entry entering new claims into WCRIS for EDI, including FROIs and SROIs.

·Submitted financial payments for all lines of business, including Workers Comp, Financial Lines, Property, Casualty, and Environmental.

Joined the team in a support role accountable for collaborating with branches to ensure the accurate processing of renewals for client accounts.

·Managed various policies, including rating, booking, and issuances. Policies included commercial property, general liability, crime, automobile, foreclosed property, forced placed property, trust, and boiler and machinery.

·Executed research on assigned accounts by compiling information to develop underwriting recommendations and pricing strategies.