Karen Gray-Person

• Manages claims that do not need a physical inspection and are expected to close in an abbreviated period.

• Resolves a large volume of claims in an in-office environment through investigation, evaluation, negotiation, verification of coverage and extent of damage to property.

• Assists Agents in the resolution of claims.

• Prepares and/or reviews property estimates and contents estimates in loss settlements.

• Examines claims submitted by insureds and/or third parties, or claims referred from other claim units, to determine whether additional or specialized investigation is necessary for claim resolution.

• Investigating, evaluating, negotiating, and settling claims

• Applying knowledge of policies, and insurance regulations when determining coverage, liability, & damages

• Contacting customers by telephone, written correspondence and/or various electronic media

• Effectively managing work through task driven queues while multi-tasking in a fast-paced call center environment

• Supporting customers through personalized, caring, and simple interactions.

• Properly managing a caseload of minor to moderate complex claims
• Maintain contact with employee and health care professional regarding the status of the injury and treatment plans
• Handle Texas claims-loss time, Supplement Income, and all litigated claims
• Implement a return to work program for the injured worker
• Exhibit an excellent ability to converse clearly and concise with client, plaintiff, and defense attorneys, brokers/agents, and claimants.

• Schedule meetings and appointments Organize the office layout and order stationery and equipment Ensure that all items are invoiced and paid on time Manage contract and price negotiations with office vendors, service providers and office lease Manage office budget, ensure accurate and timely reporting

• Secure and organize all document related the employee and the injury in chronological order to make a determination regarding the claim
• Maintain contact with employee and health care professional regarding the status of the injury and treatment plans
• Handle Texas claims-loss time, Supplement Income, and all litigated claims
• Implement a return to work program for the injured worker
• Exhibit an excellent ability to converse clearly and concise with client, plaintiff, and defense attorneys, brokers/agents, and claimants.

• Adjusted claims when associated had an accident on the job
• Spoke with clients about injured staff
• Paid benefits when the claimant was off work
• Work with doctors to help with claimant treatment plan
• Utilized time management and people management skills to negotiate a fair and just indemnification
• Responsibilities included the placing, tracking, and closely following the process of reportable claims
• Liaised with other internal departments; processed State Forms Filings: PLN, SIBs, IMEs, DDE, RME
• Participated in organization, coordination of processing SIBS, claims, and requested DDE’s as needed.

• Adjusted claims when associated had an accident on the job
• Spoke with clients about injured staff
• Paid benefits when the claimant was off work
• Work with doctors to help with claimant treatment plan
• Utilized time management and people management skills to negotiate a fair and just indemnification
• Responsibilities included the placing, tracking, and closely following the process of reportable claims
• Liaised with other internal departments; processed State Forms Filings: PLN, SIBs, IMEs, DDE, RME
• Participated in organization, coordination of processing SIBS, claims, and requested DDE’s as needed.

• Properly managing a caseload of minor to moderate complex claims
• Investigate claims with the store, claimant, medical provider and available witnesses Providing customer service to medical facilities over the telephone Responsible for timely and appropriate filing of state required forms to insure compliance Reviews claims and initiates necessary investigations