Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Dana Mungo Ramsay

Snellville,GA

Summary

Veteran Workers Compensation Claims Adjuster with 7 years of experience processing worker's compensation insurance claims. Received claims reports and evaluated merits through communication with claimants and other relevant professionals to determine appropriate compensation. Highly skilled in advising management on strategic approaches to navigating legal and policy intricacies to resolve claims with cost efficiency and minimal company liability.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Workers' Compensation Claims Adjuster

Amtrust Group
Alpharetta, GA
09.2021 - Current
  • Managed caseload of complex property damage and injury claims.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
  • Presented settlement offers to clients for approval or negotiation.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Investigated insurance claims to assess coverage validity and accuracy.
  • Ensured compliance with state regulations in claim handling processes.

Workers' Compensation Claims Adjuster

Georgia Administrative Services
Lawrenceville, GA
04.2018 - 09.2021
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
  • Coordinated field investigations with independent adjusters when necessary.
  • Communicated effectively with policyholders to maintain client satisfaction.
  • Analyzed claims data to identify trends and prevent fraud.
  • Negotiated claim settlements with claimants and legal representatives.
  • Presented settlement offers to clients for approval or negotiation.
  • Monitored ongoing cases to ensure timely progression towards closure.

Workers' Compensation Claims Adjuster

Zurich American Insurance
Atlanta, GA
01.2016 - 04.2018
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Coordinated field investigations with independent adjusters when necessary.
  • Managed caseload of complex property damage and injury claims.
  • Ensured compliance with state regulations in claim handling processes.
  • Communicated effectively with policyholders to maintain client satisfaction.
  • Reviewed police reports, medical records, and repair estimates.
  • Analyzed claims data to identify trends and prevent fraud.
  • Negotiated claim settlements with claimants and legal representatives.
  • Assessed employee injury reports and determined eligibility for workers' compensation benefits.

Education

MBA - Business Administration And Management

American InterContinental University
Schaumburg, IL
04-2016

Skills

  • Legal knowledge
  • Insurance knowledge
  • Claims Investigation
  • Policy Interpretation
  • Benefits Administration
  • Employee Relations
  • Labor Relations
  • Policy Enforcement
  • Compensation Structuring
  • Legal Compliance
  • Risk Management
  • Compliance
  • Regulatory Compliance
  • Compensation and benefits
  • Records Management
  • Contract Negotiation
  • Internal Communications
  • Microsoft Office proficiency
  • Microsoft Office and Docusign
  • Human Resources Operations

Certification

  • Adjusters Licenses in GA, FL, NC, KY, RI, DE.
  • Human Resource Management Degree.

Timeline

Workers' Compensation Claims Adjuster

Amtrust Group
09.2021 - Current

Workers' Compensation Claims Adjuster

Georgia Administrative Services
04.2018 - 09.2021

Workers' Compensation Claims Adjuster

Zurich American Insurance
01.2016 - 04.2018

MBA - Business Administration And Management

American InterContinental University

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Dana Mungo Ramsay