Heather Brazel
Little Rock,AR
Summary
To apply skills with a company that will provide great employee benefits, job security and competitive salary. Skillful Work Comp Adjuster with 5 years in worker's compensation claims adjusting. Reviewed claims to determine value of claims and appropriate level of company compensation. Knowledgeable in resolving claims efficiently with minimal risk to company.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Worker’s Compensation Claims Adjuster
Gallagher Bassett Services
NLR, AR
04.2005 - 03.2007
- Duties require a strong knowledge of current statutes, aggressive investigation of claim compensability, medical management, timely and appropriate payment of claims
- Filing of proper state forms per AWCC
- Establishment of appropriate reserves, strong ability to handle a large number of pending claims
- Ability to determine subrogation and fraud potential
- Strong ability and experience in handling large company accounts and adjusting claims for national account holders
- Excellent customer service and communication skills including insured’s, claimants, agents, and providers
- Processing medical bills
- Monitoring of files to bring about timely closure.
- Investigated workers' compensation claims to determine eligibility and extent of coverage.
- Reviewed medical records, interviewed employers and claimants, analyzed wage loss calculations, and reviewed evidence for accuracy.
- Prepared detailed reports on claim findings including all pertinent information such as injury description, cause of accident, employer responsibility, and liability.
- Processed benefit payments in accordance with applicable laws and regulations.
- Developed strategies to resolve complex cases within established timeframes.
- Maintained accurate records of all claim activities including correspondence, reports, investigations, settlements.
Worker’s Compensation Medical Only Claims Adjuster
American International Group
Little Rock, AR
01.2004 - 04.2005
- Duties require a strong knowledge of current statutes, aggressive investigation of claim compensability, medical management, timely and appropriate payment of claims
- Filing of proper state forms per AWCC
- Establishment of appropriate reserves, strong ability to handle a large number of pending claims
- Ability to determine subrogation and fraud potential
- Strong ability and experience in handling large company accounts
- Excellent customer service and communication skills including insured’s, claimants, agents, and providers
- Processing medical bills
- Monitoring of files to bring about timely closure.
Worker’s Compensation Claims Assistant
American International Group
Little Rock, AR
08.2002 - 01.2004
- Worked with adjusters assisting in miscellaneous work including legal filings, indemnity payments, filing forms with awcc, special projects, stop pays, research provider status calls, letters, and assisted adjusters with working diary.
Skills
- Claims Investigation
- Insurance Knowledge
- Legal Knowledge
- Case Coordination
- Claims Management
- Claims Processing
- Relationship Building
- Client Interviewing
- File and Record Management
- Claims Evaluation
- Excellent Communication
- Claims File Management Processes
- Time Management Abilities
Summary Of Qualifications
- 04/05/07 - 03/07/07, Gallagher Bassett Services, NLR, AR, Worker’s Compensation Claims Adjuster, Duties require a strong knowledge of current statutes, aggressive investigation of claim compensability, medical management, timely and appropriate payment of claims., Filing of proper state forms per AWCC., Establishment of appropriate reserves, strong ability to handle a large number of pending claims., Ability to determine subrogation and fraud potential., Strong ability and experience in handling large company accounts and adjusting claims for national account holders., Excellent customer service and communication skills including insured’s, claimants, agents, and providers., Processing medical bills., Monitoring of files to bring about timely closure.
- 01/04/04 - 04/05/05, American International Group, Little Rock, AR, Worker’s Compensation Medical Only Claims Adjuster, Duties require a strong knowledge of current statutes, aggressive investigation of claim compensability, medical management, timely and appropriate payment of claims., Filing of proper state forms per AWCC., Establishment of appropriate reserves, strong ability to handle a large number of pending claims., Ability to determine subrogation and fraud potential., Strong ability and experience in handling large company accounts., Excellent customer service and communication skills including insured’s, claimants, agents, and providers., Processing medical bills., Monitoring of files to bring about timely closure.
- 08/02/02 - 01/04/04, American International Group, Little Rock, AR, Worker’s Compensation Claims Assistant, Worked with adjusters assisting in miscellaneous work including legal filings, indemnity payments, filing forms with AWCC, special projects, stop pays, research provider status calls, letters, and assisted adjusters with working diary.
References
- Misty Johnson EMC Insurance - Senior Claims Adjuster 501-326-0705
- Sandra Covington 501-590-9320
- Cortney Yates, 501-425-8664
Certification
Ethics at work December 5, 2005
Workers Compensation Investigation December 20, 2005
Workers Compensation Fraud Investigation May 23, 2006
Quality Work Group Education August 2006
Claims Basic October 16, 2006
Timeline
Worker’s Compensation Claims Adjuster
Gallagher Bassett Services
04.2005 - 03.2007
Worker’s Compensation Medical Only Claims Adjuster
American International Group
01.2004 - 04.2005
Worker’s Compensation Claims Assistant
American International Group
08.2002 - 01.2004
Ethics at work December 5, 2005
Workers Compensation Investigation December 20, 2005
Workers Compensation Fraud Investigation May 23, 2006
Quality Work Group Education August 2006
Claims Basic October 16, 2006
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