Summary
Overview
Work History
Education
Skills
Communityaffiliations
Timeline
Generic

DONNA DI PIAZZA

Colgate,Wisconsin

Summary

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.

Overview

34
34
years of professional experience

Work History

Co Worker

Kwik Trip Corporation
07.2019 - Current
  • Balancing end of day financials ,retrieve reports for end of day . Communicate with Corporate office to resolve balancing issues. Process end of day results. Scan paperwork to the corporate offices. Monitor and resolve over and short issues. Verify and send deposit to the bank. Receive and verify money received from the bank. Communicate with out side vendor on the Revolution money machine to resolve non-working issues. Review and accept merchandise from vendors . Assist co-workers on transactions with customers within guidelines. Process transactions with customers and truckers within the guidelines. Also preform duties as needed to provide customer service .

Subrogation Specialist

ANTHEM BLUE CROSS
03.2018 - 03.2019

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.

Customer Service Representative/Cash Office Representative

Kohl’s Department Store
06.1990 - 05.2018
  • Process all registers with end of day reads to balance out the day. Resolve all over and short issues for each register.
  • Advise management of results of and of day. Send deposit to the bank, verify and receive money from the bank. Process returns, adjustments, sales and payments. Resolve customer issues. Interact with department associates to resolve customer issues. Request assistance from management when situation is beyond authority. Balance customer service registers at the end of the day. Research pricing for merchandise. Other duties assigned by management when needed. Trained new employees

Senior Workers' Compensation Claims Adjuster

CORVEL CORPORATION
07.2015 - 05.2016
  • Handled cases in Minnesota and Wisconsin. Handled large loss accounts. Monitored going medial treatment on past claims. Advised clients of the need for increase in large losses. Received approval from clients before increasing reserves. Maintained knowledge of new laws.
  • Was let go as the company was downsizing and claims were moved to Kansas city.

Senior Workers' Compensation Claims Adjuster

YORK RISK SERVICES
09.2014 - 06.2015
  • Worked remotely Investigated claims for determination of compensability. Learned to manage different programs for different carriers. Company wanted to write business in Wisconsin and needed a someone in Wisconsin for clients.

Senior Workers' Compensation Claims Adjuster

Sedgwick CMS
07.2013 - 08.2014
  • Handled cases in Wisconsin, Minnesota, South Dakota, and Kentucky. Managed claim reviews on all open claims with each account. Pursued recovery with WCRA on large losses. Clients changed carrier's. I left company as some of the claims were being moved to Troy Michigan .

Workers Compensation Claims Adjuster

GALLAGHER –BASSETT SERVICES
06.2004 - 06.2013

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

Education

Associate Degree - Paralegal program

Milwaukee Area Technical College
Milwaukee, Wi
01-2025

Skills

  • Team collaboration
  • Conflict resolution
  • Skilled in negotiation
  • Skilled in investigation
  • Detailed
  • Accomplishes results

Communityaffiliations

Member of Northbrook church.

Timeline

Co Worker

Kwik Trip Corporation
07.2019 - Current

Subrogation Specialist

ANTHEM BLUE CROSS
03.2018 - 03.2019

Senior Workers' Compensation Claims Adjuster

CORVEL CORPORATION
07.2015 - 05.2016

Senior Workers' Compensation Claims Adjuster

YORK RISK SERVICES
09.2014 - 06.2015

Senior Workers' Compensation Claims Adjuster

Sedgwick CMS
07.2013 - 08.2014

Workers Compensation Claims Adjuster

GALLAGHER –BASSETT SERVICES
06.2004 - 06.2013

Customer Service Representative/Cash Office Representative

Kohl’s Department Store
06.1990 - 05.2018

Associate Degree - Paralegal program

Milwaukee Area Technical College
DONNA DI PIAZZA