Deanna Manley
Sunrise,FL
Summary
Seasoned Lost Time Claims Adjuster with a proven track record at AmTrust Financial, adept in caseload management and settlement negotiation. Demonstrates strong problem-solving abilities and exceptional interpersonal skills. Achieved significant improvements in claims processing efficiency and customer satisfaction. Highly skilled in Microsoft Office and team collaboration, ensuring meticulous attention to detail in all aspects of claims investigation and management.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Lost Time Claims Adjuster
AmTrust Financial
Boca Raton, FL
01.2016 - 09.2024
- Reviewed, examined, analyzed and investigated workers compensation claims
- Adjust claims according to state specific statutes and regulations
- Establish and amending claim reserves
- Coordinate medical treatment for injured workers
- Identify cases with subrogation potential and pursue reimbursement
- Review and interpret medical reports by summarizing into platform
- Attend claim reviews telephonically and periodically in person when applicable
- Manage litigation and settlements
- Perform other duties or special projects as assigned
- Participate in departmental, company and team meetings
- Reviewed medical records, interviewed employers and claimants, analyzed wage loss calculations, and reviewed evidence for accuracy.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Completed continuing education courses to remain current on applicable laws and expand upon understanding of relationships between statutory requirements and company policies.
- Provided customer service by responding promptly to inquiries from claimants, employers, attorneys and other stakeholders.
Lost Time Claims Adjuster
Lumbermen's Underwriting Alliance
Boca Raton, FL
07.2011 - 12.2015
- Reviewed, examined, analyzed and investigated workers compensation claims
- Adjust claims according to state specific statutes and regulations
- Establish and amending claim reserves
- Coordinate medical treatment for injured workers
- Identify cases with subrogation potential and pursue reimbursement
- Review and interpret medical reports by summarizing into platform
- Attend claim reviews telephonically and periodically in person when applicable
- Manage litigation and settlements
- Perform other duties or special projects as assigned
- Participate in departmental, company and team meetings
- Reviewed medical records, interviewed employers and claimants, analyzed wage loss calculations, and reviewed evidence for accuracy.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Completed continuing education courses to remain current on applicable laws and expand upon understanding of relationships between statutory requirements and company policies.
- Provided customer service by responding promptly to inquiries from claimants, employers, attorneys and other stakeholders.
Medical Office Manager
Hanger Prosthetics & Orthotics
Wesley Chapel, FL
06.2009 - 06.2011
- Scheduled appointments for patients in accordance with their individual needs and preferences.
- Supervised patient billing, collection and financial counseling and assisted with cash posting.
- Oversaw digital patient charting, data entry and administrative duties regarding insurance, billing and accounts receivable.
- Developed plans to streamline patient flows, increase office and patient care efficiency and generate new revenues.
- Developed and implemented office policies and procedures while adhering to HIPAA and OSHA regulations.
- Managed accounts receivable for the practice, ensuring timely payments from insurance companies and patients.
- Coordinated with insurance companies to verify coverage of services rendered.
- Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
- Organized and maintained documents, files and records.
- Prepared weekly reports summarizing financial performance metrics, such as revenue collections, accounts receivable balances.
- Worked with management team to improve workflows and eliminate unnecessary tasks.
- Represented work unit at meetings or conferences to serve as liaison for requests or complaints.
- Managed busy calendar for executive team, planning and preparing meetings and communications.
- Oversaw day-to-day operations of the front desk area to ensure efficient flow of patients through check-in and checkout processes.
Education
Some College (No Degree) - Business Administration
Broward College
Fort Lauderdale, FLSkills
- Ability to operate independently and effectively
- Strong interpersonal and organization skills
- Strong problem-solving ability
- Proficient using computer applications including Microsoft office
- Comfort using internet/online based software
- Detail oriented
- Excellent written and oral communication skills
- Strong negotiation skills
- Caseload management
- Claims file documentation
- Settlement negotiation
- Workers' compensation claims
- Highly motivated
- Claims investigation
- Attention to detail
- Empathy and patience
- Team collaboration
Accomplishments
- Received "Employee of the year" award from 2017 through 2024
Certification
- 0620 All lines FL adjuster license
Timeline
Lost Time Claims Adjuster
AmTrust Financial
01.2016 - 09.2024
Lost Time Claims Adjuster
Lumbermen's Underwriting Alliance
07.2011 - 12.2015
Medical Office Manager
Hanger Prosthetics & Orthotics
06.2009 - 06.2011
- 0620 All lines FL adjuster license
Some College (No Degree) - Business Administration
Broward College
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