To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
20
20
years of professional experience
Work History
Lost Time Workers Compensation Claims Adjuster
Travelers Insurance Company
04.2022 - Current
Licensed lost time litigation workers compensation claims adjuster with a focus on employee return to work.
Manage a case load of 170+ open NC,SC, and VA claims with lost time, to conclusion.
Negotiate settlements were appropriate to resolve claims.
If causation is an issue, retain experts to perform IME or records review.
Set accurate reserves.
Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
Enhanced client satisfaction by providing timely updates and effectively resolving claim disputes.
Streamlined workflow for faster claim resolution by coordinating with various internal departments and external agencies.
Collaborated with legal teams to represent the company in litigation cases, leading to favorable outcomes in complex claim disputes.
Contributed to team success by participating in regular training sessions, sharing best practices, and mentoring new adjusters.
Workers Compensation Claims Assistant
CCMSI
02.2021 - 04.2022
Processed and recorded new policies and claims.
Maintained confidentiality of patient finances, records, and health statuses.
Management of the Nurse Case Management mailbox.
Enter and transcribing medical records into claims for adjusters.
Pay all NCM outstanding bills.
Complete and mailing of form 90's to claimants/attorneys.
Manage the State of SC mailbox and dropping mail into claims for adjusters.
Preparation of files to go to the Attorney Generals' office and sorting mail/bills and making sure they are administered to proper parties.
Assistant Store Manager
Bed Bath & Beyond
11.2014 - 10.2020
Boosted customer satisfaction by providing exceptional service and addressing concerns promptly.
Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.
Streamlined inventory management with regular audits, accurate ordering, and efficient stock organization.
Train and development of new employees.
Assist with hiring process and performing interviews
Served as primary point of contact for escalated customer service issues.
Merchandising Lead/Project Manager
Bed Bath & Beyond
01.2014 - 11.2014
Responsible for planning and mapping of a full store remodel in one of the top producing stores in the NE region.
Developed new employees in a fast-paced setting, guiding them each with hands on traning
Streamlined project timelines by implementing efficient scheduling and resource allocation strategies.
Enhanced team collaboration for successful project outcomes by fostering open communication and feedback channels.
Managed cross-functional teams to achieve project milestones, ensuring timely delivery of high-quality products.
Led the development of comprehensive project plans, incorporating scope definition, risk mitigation strategies, and budgeting considerations.
Department Manager/Harmon
Bed Bath & Beyond
01.2012 - 11.2014
Increased overall store sales an average of 5% per period.
Executed new merchandising plans in a timely manner, visually maintained the cleanliness of the department.
Cross trained in multiple departments.
Enhanced department efficiency by streamlining processes and implementing time-saving strategies.
Reduced operational costs through effective budget management and resource allocation.
Increased productivity by identifying bottlenecks and implementing targeted solutions.
Developed strong relationships with suppliers, securing better deals and ensuring timely deliveries.
Sales Representative/Custmer Service Trainer
Bed Bath & Beyond
09.2004 - 09.2012
Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
Worked effectively to maintain a safe and friendly work environment for both customers and management.
Responsible for providing excellent customer service.
Education
Criminal Justice
Florida Atlantic University
Boca Raton, FL
2007
Skills
Technical knowledge
Claims Investigation
Claims Processing
Highly motivated
Best Practices Implementation
North Carolina Claims Adjuster License
Legal Compliance
Team Collaboration
Settlement Negotiations
Critical Thinking
Decision-Making
Attention to Detail
Additional Information
Travelers Committees:
The CARETEAM
The Engagement Team
Team Meeting Facilitator and Trainer/Mentor for new hires