Courtney Martinez
Lexington,FL
Summary
Results-driven Liability Team Lead with a proven track record of enhancing operational efficiency and client satisfaction. Skilled in coaching, performance monitoring, and fostering teamwork to drive positive change.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Liability Team Lead
Sedgwick CMS
12.2024 - Current
- Led cross-functional teams to enhance operational efficiency and client satisfaction.
- Developed training programs to mentor team members on best practices and compliance standards.
- Streamlined communication between departments to facilitate timely issue resolution.
- Fostered a collaborative work environment, encouraging innovation and teamwork among staff.
- Trained new team members by relaying information on company procedures. Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Coached team members in techniques necessary to complete job tasks.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
- Influenced positive change within the organization through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.
- Conducted regular progress reviews with individual team members to identify areas for improvement and provide guidance on career development opportunities.
Claims Examiner III
Sedgwick
12.2001 - 12.2024
- Evaluated and processed claims, ensuring compliance with policies and regulations.
- Investigated claim discrepancies to determine validity and resolve issues efficiently.
- Mentored junior team members on claims processes and best practices for efficiency.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Achieved timely resolution of auto liability claims through effective negotiation and litigation management. Delivered proactive coordination of vendor referrals for investigations, resulting in improved claims processing. Enhanced claim recoveries through strategic management of subrogation and offsets, ensuring comprehensive reporting to excess carriers.
Skills
- Coaching and mentoring
- Performance monitoring
- Performance improvement
- Attention to detail
- Strong organizational skills
- Good interpersonal skills
- Supervises a team of 6 examiners
- Provides technical/jurisdictional direction to examiner report on claims
- Performs quality review on claims in compliance with audit requirements
- Monitors third party claims; maintains periodical review of litigated claims, questionable claims and sensitive claims as determined by client
Certification
Currently hold active insurance adjuster licenses in 38 states.
Timeline
Liability Team Lead
Sedgwick CMS
12.2024 - Current
Claims Examiner III
Sedgwick
12.2001 - 12.2024