Juana Winfield
Auburn,WA
Summary
Proactive Sr. Claims Examiner and Associate Litigation Attorney with extensive experience in claims analysis, coverage evaluation, and policy interpretation. Adept at managing high-profile cases, negotiating settlements, and developing impactful training programs. Bringing strong problem-solving abilities, time management, and a commitment to improving processes and client satisfaction. Detail-oriented Examiner with 20+ years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and multi-levels areas of claims expertise.
Overview
22
22
years of professional experience
Work History
Sr. Claims Examiner
Government Employees Insurance Company
01.2014 - Current
- Reduced claim resolution time by conducting thorough hundreds of investigations and timely decision-making.
- Handled high-profile cases professionally, maintaining confidentiality while achieving satisfactory resolutions.
- Coordinated with medical professionals to obtain necessary documentation for evaluating injury claims accurately.
- Collaborated with dozens of legal counsel on complex claims, ensuring compliance with regulatory guidelines.
- Spearheaded process improvements that resulted in reduced backlog and faster claim settlements.
- Negotiated at least 200 settlements with claimants per year, balancing fairness with fiscal responsibility to the company.
CHO Associate, Management, & Officer Trainer
Government Employees Insurance Company
01.2007 - 12.2013
- Created 2 additional course materials per year to enhance training.
- Developed several skill-specific training programs to promote employee development.
- Blended business's goals, mission and values with learning development initiatives per annum to deliver high-quality training to employees.
- Evaluated client processes, employee performance and training progress annually to determine additional training needs.
- Documented training activities and changes monthly to analyze program effectiveness.
- Administered course content, schedules and attendance biweekly utilizing learning management system.
- Created training and production schedules biweekly to meet demands of the client and learning department.
- Checked tracking systems for student and instructor leaves, attendance scores and overall performance daily.
Associate Litigation Attorney, Insurance Defense
Government Employees Insurance Company
04.2002 - 12.2006
- Managed diverse caseload (70-90 cases) of litigation matters, consistently meeting deadlines for filings and appearances.
- Collaborated with cross-functional teams to strategize on complex litigation issues and streamline case management processes.
- Attended various court hearings as second chair attorney providing support to lead counsel during trials or oral argument presentations on various motions.
- Increased multiple client satisfaction with timely communication and commitment to understanding their needs.
- Mentored (4) junior associates on best practices in legal writing, research techniques, and time management strategies enhancing their overall performance within the firm.
- Assisted partners with business development initiatives, participating in client meetings and contributing to the preparation of pitches and proposals.
- Developed strong negotiation skills, settling disputes favorably for clients without the need for trial.
- Improved case outcomes by conducting thorough legal research and preparing well-structured arguments.
- Conducted witness interviews and prepared deposition questions to gather essential information for case development.
- Researched laws and prepared legal briefs, opinions, and memoranda.
- Rendered opinions on liability, damages, and value as requested by the Claims Department.
- Documented files in a clear, concise, professional written manner, to be understood by customers, clients, coworkers and other employees of the organization.
- Built strong relationships with opposing counsel, judges, and court staff through professional demeanor and effective communication skills.
Education
J.D. - Law
Mercer University
Macon, GABachelor of Arts - English Literature
Louisiana State University And A&M College
Baton Rouge, LASkills
- Claims analysis
- Coverage Evaluation
- Investigation techniques
- Policy Interpretation
- Problem-solving abilities
- Time Management
Timeline
Sr. Claims Examiner
Government Employees Insurance Company
01.2014 - Current
CHO Associate, Management, & Officer Trainer
Government Employees Insurance Company
01.2007 - 12.2013
Associate Litigation Attorney, Insurance Defense
Government Employees Insurance Company
04.2002 - 12.2006
J.D. - Law
Mercer University
Bachelor of Arts - English Literature
Louisiana State University And A&M College