Danielle Cabiran
59219 N Pearl #378 - Slidell,LA
Summary
To obtain a position as a Senior Claims Representative within a company who allows me to utilize my education and work experience while gaining valuable work experience.
Overview
18
18
years of professional experience
Work History
Senior Claims Specialist
CCMSI
05.2023 - Current
- Investigate and adjust worker's compensation claims in accordance with established claims handling procedures to determine compensability.
- Calculate and issue indemnity to claimant's when warranted.
- Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing worker's compensation claims and negotiate any disputed bills for resolution.
- Assist in selection and supervision of defense attorneys. Prepare settlement evaluations and negotiate same with claimants and plaintiff attorneys to bring claims to resolution and reduce future financial exposure.
- Assess and monitor subrogation claims for resolution and recovery.
- Prepare timely excess carrier reports detailing claim events and action plans to bring claims to resolution and reduce future exposure.
- Adhere to all client instructions regarding vendor management and client preferred providers and policies.
Claims Representative
CORVEL
03.2021 - 05.2023
- Investigate State, Long Shore, and Jones Act claims for coverage and compensability in accordance with established claims handling procedures and best practices.
- Calculate and issues indemnity payments to claimant's when warranted.
- Determine action plan to best limit exposure and brings claims to resolution.
- Prepare settlement evaluations and negotiate same with claimant's an plaintiff attorneys within my desk authority.
- Assess and monitor subrogation and second injury fund potential for resolution and recovery.
- Prepare timely excess carrier reports detailing events and plans of action to bring claims to resolution.
- Review medical, legal and other miscellaneous invoices to determine if reasonable and related to the ongoing worker's compensation claims.
Claims Representative II
CCMSI
10.2015 - 03.2021
- Investigate and adjust worker's compensation claims in accordance with established claims handling procedures to determine compensability.
- Calculate and issue indemnity to claimant's when warranted.
- Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing worker's compensation claims and negotiate any disputed bills for resolution.
- Assist in selection and supervision of defense attorneys. Prepare settlement evaluations and negotiate same with claimants and plaintiff attorneys to bring claims to resolution and reduce future financial exposure.
- Assess and monitor subrogation claims for resolution and recovery.
- Prepare timely excess carrier reports detailing claim events and action plans to bring claims to resolution and reduce future exposure.
- Adhere to all client instructions regarding vendor management and client preferred providers and policies.
Chalmette Electric / LeBlanc Electric
General Accounting Manager
11.2005 - 10.2015
- Operate computers programmed with accounting software to record and analyze financial information.
- Check financial figures and documents for correct entry, mathematical accuracy and proper coding.
- Classify, record and summarize financial data for ongoing financial reports.
- Report to management regarding the companies financial status.
- Manage and process payroll for all employees.
- Develop, implement, modify and document recordkeeping and accounting systems making use of current computer technology.
Education
GED -
Delgado
Chalmette, LALicense
Louisiana residential adjuster license 812787
Mississippi nonresident independent adjuster license 10735535
Timeline
Senior Claims Specialist
CCMSI
05.2023 - Current
Claims Representative
CORVEL
03.2021 - 05.2023
Claims Representative II
CCMSI
10.2015 - 03.2021
Chalmette Electric / LeBlanc Electric
General Accounting Manager
11.2005 - 10.2015
GED -
Delgado