High-energy, enthusiastic, and dependable individual with a passion for challenging and competitive environments. Self-motivated and experienced in independent decision-making. Known for reliability and accountability in all professional endeavors. Skilled in negotiation and adept at resolving differences. Proficient in customer service. Possesses strong negotiating skills, along with a persuasive, persistent, and resolute approach. A determined individual consistently achieving results. Exhibits excellent organizational skills and thrives in both team and independent work environments. Offers extensive knowledge as a workers' compensation adjuster with over 20 years of experience.
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Reviewed questionnaire complete by member's to determine if subrogation is to be pursued. Verified if coverage was in force at time of the incident/accident. Made contact with all parties for additional information. Determine if liability has been accepted. If accepted, investigate determine if subrogation can be pursued. Request and review ISO reports. Documentation is made on facts . Reviewed all medial bills related to the injury. If subrogation is to be pursued, file was set up and sent to the analyst, notification letters sent to all parties involved with the lien. If not subrogation pursued , file is closed. Reviewed 200 files per month. Handled, Connecticut, New Hampshire, Maine and Massachusetts.
Dedicated to Roundys Corporation. Made 24 hour contact ot all parties to determine compensability. Verified coverage. Reviewed claim forms and other records to determine compensability. Prepared report of findings Made timely payment on all compensable claims . Assigned case managers as needed to assist in managing medial management . Conducted comprehensive interviews of witnesses and claimants to gather facts and information. Reviewed all medical bills and paid bills related to injury. Communicated with treating physician to determine compensability and extent of injury. Scheduled Independent Evaluations as needed. Managed claim reviews with client on all open claims. Maintained claim file according to company standards.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information. Retained Attorneys.Maintained contact with claimants and attorneys to determine treatment status.
Negotiated settlements