Jessica Brockett
Plumas Lake,CA
Summary
Dynamic claims professional with a focus on optimizing workplace safety and compliance. Expertise in managing high-risk claims and providing actionable recommendations to school district management, ensuring adherence to California regulations. Skilled in conducting thorough investigations and fostering collaborative relationships with attorneys, medical providers, and other stakeholders.
Overview
1
1
Certification
10
10
years of professional experience
Work History
Claims Examiner II
Schools Insurance Authority
12.2021 - Current
- Manage high-value, high-risk, and litigated claims while maintaining accurate, confidential records and detailed documentation.
- Conduct investigations involving employee workplace injuries by interviewing involved employees and witnesses, gathering factual and medical evidence, evaluating documentation, and determining appropriate claim resolution.
- Facilitated outside investigations and worked with school districts, employees, attorneys, medical providers, and other stakeholders to manage complex and litigated claims.
- Advised school district management on workers' compensation claims, clarifying employer responsibilities, employee work restrictions, modified work options, return-to-work considerations, and compliance with California requirements.
- Interpret California Labor Code provisions, state laws, regulations, insurance policies, and organizational procedures to evaluate liability, compliance, and appropriate handling of employee-related claims.
- Provided management recommendations based on investigative findings and legal, policy, and medical information; communicated findings clearly to district representatives to support informed decision-making.
- Coordinate with external legal counsel regarding depositions, hearings, trials, defense strategies, and claim resolution.
Early Intervention Unit | Complex Claims Representative I
Berkshire Hathaway GUARD Insurance
Rancho Cordova, CA
01.2019 - 12.2021
- Determined compensability and coverage issues involving lost-time workers' compensation claims through timely review and evaluation of facts and documentation.
- Gathered and maintained medical and factual evidence, coordinating outside investigations to ensure accurate claim decisions.
- Communicated daily with claimants, attorneys, investigators, insureds, medical providers, and agents regarding sensitive and often time-critical matters.
- Administered prompt provision of workers' compensation benefits and coordinated early return-to-work efforts for claimants.
- Negotiated settlements and completed documentation while ensuring compliance with claims-handling requirements.
- Completed timely and efficient claims-handling responsibilities in a high-volume environment.
Service Representative
Berkshire Hathaway GUARD Insurance
Rancho Cordova, CA
07.2017 - 01.2019
- Managed high-volume incoming calls, claim submissions, payment and billing inquiries, and confidential claim information to ensure timely support for clients.
- Liaised among adjusters, supervisors, managers, insureds, agents, medical providers, and claimants to facilitate clear communication and resolve issues.
- Processed claims accurately and generated certificates and loss runs, ensuring precision and compliance with regulatory standards.
City Carrier Assistant
United States Postal Service
Rancho Cordova, CA
06.2016 - 09.2016
- Sorted and organized 4,000 pieces of daily mail, enhancing workflow and ensuring timely delivery.
- Operated independently in high-volume environment, ensuring professionalism, organization, and accuracy in all tasks.
- Followed USPS policies, procedures, regulations, and delivery protocols while handling confidential correspondence.
Education
Bachelor of Science - Criminal Justice
California State University, Sacramento
Sacramento, CA12-2026
Associate of Science - Administration of Justice
Los Rios Community College
Sacramento, CA08-2024
Skills
- Workers' Compensation Administration
- Claims Management
- Claims investigations
- Labor code compliance
- Return-to-Work Coordination
- Employee & Witness Interviews
- Claims Analysis
- Policy & Procedure Interpretation
- Confidential Records & Documentation
- Professional communication
- Conflict resolution
- Employee relations
- Employee Benefits Administration
- Work Restrictions & Medical Documentation
Certification
Qualified Self-Insurance Administrator (OSIP)
Timeline
Claims Examiner II
Schools Insurance Authority
12.2021 - Current
Early Intervention Unit | Complex Claims Representative I
Berkshire Hathaway GUARD Insurance
01.2019 - 12.2021
Service Representative
Berkshire Hathaway GUARD Insurance
07.2017 - 01.2019
City Carrier Assistant
United States Postal Service
06.2016 - 09.2016
Bachelor of Science - Criminal Justice
California State University, Sacramento
Associate of Science - Administration of Justice
Los Rios Community College