Jana Beatty Snider
Apple Valley,MN
Summary
Insurance professional with in-depth experience managing and negotiating complex, high exposure claims in a time sensitive environment. Manage resources, timeframes and multiple priorities to improve customer service and achieve aggressive team goals. Strong history of building strategic relationships with customers to manage risk and provide timely claims resolution. Committed to successfully managing a complex and diverse caseload.
Overview
39
39
years of professional experience
Work History
Sr. Indemnity Claim Specialist
CorVel Corporation
Kansas City, MO
05.2023 - Current
- Research and resolve complex Workers' Compensation claims for multiple state jurisdictions [Minnesota, Wisconsin, Iowa, Kansas, Missouri, Nebraska, South Dakota].
- Aggressive identification and reporting into potential fraudulent claims.
- Negotiate settlements with claimants and attorneys on behalf of employers.
- Communicate with medical providers, claimants, lawyers and public officials to provide invested parties with claim information and facilitate necessary participation.
- Participate in hearings & trials before OAH to represent the interests of the clients during claim resolution efforts.
- Prepare monthly detailed reports on claim findings including all pertinent information such as injury description, cause of accident, employer responsibility, and plan for timely claim resolution.
- Calculate and processed benefit payments in accordance with applicable laws and regulations.
- Coordinate with medical professionals to arrange treatment for examinations and appropriate treatment of injured claimants. As well as identifying the need for and scheduling of independent medical examinations.
- Collaborate with legal counsel in the preparation of documents related to litigation proceedings involving workers' compensation claims.
- Independently managed all workers' compensation claims for 23 direct client customers.
Claims Representative IV
RAS Companies, Inc
Sioux Falls, SD
11.2022 - 05.2023
- Analyze high level and catastrophic workers’ compensation claims to determine extent of liability. Investigate and settle advanced, large loss and complex claims.
- Control disposition of claims including investigation according to company objectives, policies, procedures, standards and referral guidelines.
- Settle claims with claimants in accordance with Company policy provisions and State Statute.
- Primary states: South Dakota, Minnesota.
- Consistent and effective communication with defense counsel in managing litigated files, regularly communicate with employer, physicians, plaintiff attorneys and claimants by providing high level of customer service.
- Interpret and make compensability decisions using independent judgment on complex and high risk files. Managing all aspects of investigative activity, develop discovery and direct litigation strategy with the assistance of legal counsel pursuant to best practices.
- Establish reserves using independent judgment and expertise and authorize payment within scope of authority, settling claims in the most cost effective manner.
- Make decisions regarding the utilization, coordination and management of other resources/specialists (managed care, return to work, etc.) while retaining overall management of the file.
Sr. Claims Adjuster, Compensability Specialist
State Auto Insurance
Bloomington, MN
12.2013 - 11.2022
- Multiple State responsibility [Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, South Dakota].
- Investigated up to 70 claims per month and determine eligibility of lost time, high risk, and catastrophic workers’ compensation claims.
- Provide accurate and timely investigation and liability determination of our high risk claims.
- Provide superior service to all customers.
- Provided recorded statement training to staff, mentored medical only and new incoming adjusters.
- Identified, promoted and tracked continuing education options for the department.
- Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Workers’ Compensation Specialist II
HARLEYSVILLE INSURANCE GROUP
Edina, MN
01.2008 - 12.2013
- Managed, negotiated and settled high exposure workers’ compensation claims for 10 state jurisdictions [Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Carolina, South Dakota].
- Managed vendor referral for Independent Medical Examinations, Qualified Rehabilitation Consultants, Nurse Case Management, Surveillance and Medical Bill Review.
- Closed 35 claims per month valued at $3,500,000 - $4,375,000.
- Trained/Mentored all new adjuster staff.
- Identified and promoted continuing education options for the department.
Workers’ Compensation Claims Adjuster
CAMBRIDGE INTEGRATED SERVICES, INC
Eagan, MN
06.2005 - 01.2008
Workers’ Compensation Consultant
KMA, INC
Burnsville, MN
06.2004 - 06.2005
Subrogation Analyst
INGENIX, INC, UnitedHealth Group
Eden Prairie, MN
10.2001 - 06.2004
Recovery & Investigation Specialist
The ST. PAUL Companies
Saint Paul, MN
01.1985 - 10.2001
Education
Associate of Applied Science - Retail Marketing Management/Fashion Merchandising
Ellsworth Community College
Iowa FallsSkills
- Regulatory Compliance
- Fraudulent Claims Investigations
- Settlement Negotiations
- Litigation Management
- Reserves Management
- Critical Thinking
- Active Listening
- Decision Making
- Verbal and Written Communication
- Relationship Building
- Team Collaboration
- Staff Development
- Coaching and Mentoring
- Conflict Resolution
Timeline
Sr. Indemnity Claim Specialist
CorVel Corporation
05.2023 - Current
Claims Representative IV
RAS Companies, Inc
11.2022 - 05.2023
Sr. Claims Adjuster, Compensability Specialist
State Auto Insurance
12.2013 - 11.2022
Workers’ Compensation Specialist II
HARLEYSVILLE INSURANCE GROUP
01.2008 - 12.2013
Workers’ Compensation Claims Adjuster
CAMBRIDGE INTEGRATED SERVICES, INC
06.2005 - 01.2008
Workers’ Compensation Consultant
KMA, INC
06.2004 - 06.2005
Subrogation Analyst
INGENIX, INC, UnitedHealth Group
10.2001 - 06.2004
Recovery & Investigation Specialist
The ST. PAUL Companies
01.1985 - 10.2001
Associate of Applied Science - Retail Marketing Management/Fashion Merchandising
Ellsworth Community College