Jill Lauer
Columbia,IL
Summary
Proven Claims Manager with a track record of reducing Keeley Companies' EMR by over 33%, showcasing expertise in claims analysis and a knack for fostering strong client relationships. Developed essential training materials and streamlined processes, demonstrating exceptional organizational skills and interpersonal communication.
Overview
28
28
years of professional experience
Work History
Claims Manager
Keeley Companies
07.2017 - Current
- Analyzed information gathered by investigation and reported findings and recommendations to support decision-making processes.
- Negotiated settlements with claimants, achieving fair outcomes while controlling costs.
- Reduced claim disputes by enforcing strict adherence to policy terms and conditions.
- 2023 Self Handled 210 claims consistent with corporate policies, procedures, best practices and regulations.
- Lowered Experience Modification Rate (EMR) from 2017 .83 to 2024 .55.
- Streamlined communication between adjusters, physicians and our attorneys to expedite claim resolution.
- Collaborated with other departments to improve overall event reporting protocol effectiveness while adhering to company policy.
- Developed the ICE Form (In Case of an Emergency) to be filled out for each job location which becomes part of their Site Specific Safety Plan.
- Personally meet with Medical Providers to ensure they understand our medical protocol based on our policy and OSHA standards.
- Developed training materials to ensure consistent handling of claims across the companies.
- Maintain several compliance management systems (IS Net, Avetta) with top grades which continues to have a positive effect on business.
- Manage compliancy in our Monopolistic States, OH, ND, Washington State and WY.
- Assist with the Safety and Risk portions of potential new business pre-qualification forms.
- Assist all groups with filling out paper work for an Owner-Controlled Insurance Program (OCIP and CCIP) and Contractor Controlled Insurance Program.
- Complete monthly reports ICOPE (Insurance Cost Out of Pocket)and Rolling Total reports for Senior Leadership.
Claim Representative and Account Manager
Insurance Claim Services, Inc.
02.1997 - 01.2017
- Developed strong relationships with clients, fostering trust and loyalty to the company.
- Enhanced customer satisfaction by providing timely and accurate claim resolutions.
- Third Party Administrator for Large Trucking and Warehouse Company handling claims cradle to grave.
- Interviewed policy holders to very information following a catastrophic property event.
- Examine reports in house and CAT adjusters reports for accuracy prior to turning into the client.
- Quarterly Claim Review
- Billing and uploading reports into Clients Portals.
- Payroll and Quarterly Taxes
Education
Associate of Arts - Cosmetology
Illinois Valley Community College
Oglesby10.1981
Skills
- Claims analysis
- Policy Interpretation
- Claims investigation and research
- Organizational Skills
- Attention to Detail
- Interpersonal Communication
Affiliations
- ASSP American Society of Safety Professionals
- Waterloo Lions
Timeline
Claims Manager
Keeley Companies
07.2017 - Current
Claim Representative and Account Manager
Insurance Claim Services, Inc.
02.1997 - 01.2017
Associate of Arts - Cosmetology
Illinois Valley Community College