Retired Sr. Workers Compensation Adjuster
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Examined claims forms and other records to determine insurance coverage.
- Collaborated with medical professionals to review injury claims, ensuring proper treatment plans were in place and accurately calculating compensation based on severity and long-term impact.
- Reduced the number of fraudulent claims by implementing advanced investigative techniques and collaborating with law enforcement when necessary.
- Collaborated with legal teams to represent the company in litigation cases, leading to favorable outcomes in complex claim disputes.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.