Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kari Cormier

Windsor,CT

Summary

Enthusiastic professional motivated to resolve claims quickly to reduce loss ratios. Skilled researcher proficient in total claim investigation and processing.

Overview

6
6
years of professional experience
1
1
Certification

Work History

WC Adjuster

Gallagher Bassett
Windsor, CT
03.2024 - 06.2024
  • Established reserves for each claim based on analysis of the facts and applicable law.
  • Drafted correspondence related to claim investigations and settlements.
  • Assessed potential losses for insureds in accordance with applicable laws and regulations.
  • Negotiated settlements with claimants, attorneys and other parties.
  • Conducted witness interviews to assist claim information gathering process.
  • Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
  • Negotiated and settled claims according to information presented through reports, research, and data verification.
  • Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.

WC Adjuster

ESIS
Simsbury, CT
09.2021 - 02.2023
  • Participated in training sessions related to new policies or procedures.
  • Established reserves for each claim based on analysis of the facts and applicable law.
  • Drafted correspondence related to claim investigations and settlements.
  • Demonstrated excellent communication skills when interacting with customers.
  • Negotiated settlements with claimants, attorneys and other parties.
  • Provided coverage opinions based on analysis of facts, law, policy language and endorsements.
  • Negotiated total loss settlements by reasonably applying company estimates to benefit both client and company needs.
  • Resolved claims for insureds by providing relevant policy details and excellent customer service.
  • Conducted witness interviews to assist claim information gathering process.
  • Investigated questionable claims to determine payment authorization.

Fleet Serv8ces Administrtor

EASTCONN
Columbia, CT
07.2018 - 12.2019
  • Maintain Department of Motor Vehicles (DMV). Develop and maintain excellent customer relation with external vendors, Execute purchase orders as needed for the organization.

Specialty Transportation, Account Executive-Charter Division Avon, CT.- Provided excellent customer service scheming charters for weddings, special events and school trips. Received and responded to any and all inquiries from potential customer clients. Created monthly charter plans for briefing meetings with drivers.

Lens Crafters, Medical Administrative Assistant Avon, Ct

Provided general optometry office support such as answering phones, filing patient charts, collecting and processingpatieny insurance/ and co-pays. Making reminder phone calls to patients for a busy three provider practice. Performed patient intake , pre-qppointment tests( including blood pressure), and taught ptients how to insert and remove contact lenses.

Customer Service- 20+ years of experience, effective leader and team player, positive nd pleasant phone etiquette/overall needs , calming presence with customers, skilled at assessing current mood of customers, able to handle surprisesand organized.

Medical Administration_ Preparing health insurance claims, medical terminology, transcription, medical ethics and legal responsibilities, integrated iCD-9 and CPT coding, bookkeepin procedures.

Computer- Microsoft Word, Microsoft Excel, Microsoft Outlook, Google Drive

Educatin

Onine Medical Assisting Coursework. August 2010

Simsbury High School Simsbury, CT Diploma 1983-1987

Education

High School Diploma -

Simsbury High School
Simsbury, CT
06-1987

Skills

Technical knowledge

  • Claims Investigation
  • Policy investigations
  • Workers' compensation claims
  • Claims Processing
  • Litigation resolution
  • Caseload Management
  • Medical terminology specialist
  • Claims investigations
  • Coverage assessments

Certification

I have a CT, RI, and New Hampshire adjusters licenses. License # 8311839.

Timeline

WC Adjuster

Gallagher Bassett
03.2024 - 06.2024

WC Adjuster

ESIS
09.2021 - 02.2023

Fleet Serv8ces Administrtor

EASTCONN
07.2018 - 12.2019

High School Diploma -

Simsbury High School
Kari Cormier