Hi, I’m
Katrina Perez
Stratford,CT
Summary
Detail-oriented Examiner with multi state experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and workers compensation.
Overview
25
years of professional experience
1
Language
Work History
AMNewYork
Circulation Analyst
07.2004 - 06.2005
Job overview
- Evaluated and audited Circulation for all distributions by AMNew York.
AMNew York
TEAM LEADER
01.2004 - 06.2005
Job overview
- Daily Supervision of 10 - 25 employees
- Ensured each individual was in their uniform and performing the duties of the day
- Organized and conducted special promotions for AMNew York
- Worked closely with HR on recruitment.
Chubb Insurance
Claims Adjuster
05.2022 - Current
Job overview
- Examined claims forms and other records to determine insurance coverage.
- Negotiated settlement agreements to resolve disputes.
- Documented all investigation activity and presented reports to management.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Prepared summaries of damage, payments, and policy coverage.
- Contributed to positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Reviewed police reports, and medical treatment records to determine extent of liability.
- Maintained contact with claimants and attorneys to determine treatment status.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Directed claims negotiations within allowable limit of $250,000 and supported successful litigations for advanced issues.
The New York Black Car Fund
Workers Compensation Claims Assistant Promoted to Workers' Compensation Claims Specialist
08.2016 - 04.2022
Job overview
- Managed efficient processing and documentation of new insurance policies and customer claims
- Collected additional information from insured parties by telephone, email, and letter
- Prepared current and accurate documents, transcribing and entering data into Riskmaster for tracking
- Assigned various projects due to various demands
- Coordinated payments, collecting and organizing supporting documentation
- Entered, accessed, and searched data with ISO and maintained physical files
- Verified personal data on insurance applications and policies
- Maintained accuracy by using insurance rate standards to calculate premiums, commissions, and adjustments
- Calculated claims amounts and submitted paperwork for payment or review
- Paid out uncomplicated claims of less than $100,000
- Processed new claims, verifying data and documentation prior to submitting for approval or review
- Processed claims to be sent to the Workers Compensation Board for acceptance and dived them out to teams
- Updated databases with new information from newly filed and open insurance claims
- Processed payments for various vendors.
Pasternack, Zeigle, Walsh Stanton and Roman LLC
Workers Compensation Paralegal
04.2014 - 08.2016
Job overview
- Organize Correspondence with attorneys and doctors
- Organize medial reports, schedule doctor appointments, meetings and interview doctors
- Draft trial briefs, applications to schedule date or reply
- Draft motion to postpone or respond and demands for documents
- Draft request for hearing or response
- Draft petition for review (WCB) Draft settlement papers and negotiate settlement
- Check average weekly wage calculations
- Evaluate disability utilizing WCS rules and guidelines
- Supervise compliance with demand for documents
- Prepare narrative case evaluation
- Request employer medial mileage reimbursement
- Brief new case law and analyze WCB and judicial trends
- Draft affidavit regarding attorney's fees
- Perform new case intake evaluations
- Contact and maintain client correspondence.
Hostos Community College
College Assistant
08.2009 - 07.2014
Job overview
- Performs routine clerical work; answer and attend to telephone calls; maintain records, operate office machines (such as copier), sort and distribute mail, issue keys and identity cards, act as messenger, and perform related tasks as required
- Type letters, memorandums, charts, and similar materials
- Assist in statistical or research activities
- May collect and compile data, code data for computer entry, perform data entry, and run computer reports
- Perform clerical library work, such as sorting and shelving books, performing data entry into library systems, or binding books and periodicals
- Enter and maintain departmental records in database such as inventory control records, rosters, directories, and schedules
- Filed and collected Workers Compensation records from employees.
Third Floor Promotions
Recruiter / HR Manager
06.2006 - 07.2008
Job overview
- Developed and executed recruiting plans for over 150 potential contractors
- Payroll processing handled all special promotional projects.
Third Floor Promotions
Office Manager
06.2006 - 07.2007
Job overview
- Coordinated all vendors' contacts and negotiated the best prices for supplies and uniforms
- Maintained and conducted the audits for the newspaper circulation numbers
- Maintained the statistics of where the newspaper circulates throughout the tri-state area assured all team leaders were made aware of the highlights and special promotions for the next day
- Maintained the payroll records
- Customer service - Worked to resolve all customer and labor complaints
- Maintained daily and weekly meetings for staff and laborers
- Distributed payroll.
Seventeen Magazine
Receptionist/Office Facilities Assistant
01.1999 - 01.2001
Job overview
- Managed switchboard with multiple incoming lines for 158 employees
- Scheduled conference room meetings
- Assisted the Office Manager, Dispatcher and Controller with work overflows
- Heavy contact with building management for all repairs
- Arrange taxis and other travel requirements
- Assisted various departments with various tasks when requested.
Education
BMCC
Associate of Arts from Paramedic
01.2018
University Overview
- Hostos Community College
- Lehman High School
Skills
- Insurance coverage limits
- Policy review
- Insurance confirmation
- Claims processing
- Claims preparation
- Highly motivated
- Advanced oral and written communication skills
- Caseload Management
- Connecticut and Vermont All lines Insurance License
References
REFERENCES upon request
Certification
- CT -Casualty all lines Adjuster - 20559452 issued 12/14/2022
- NH - Adjuster license - 20559452 issued 12/15/2022
- RI - Independent Adjuster - 3002301007 issued 12/15/2022
- VT -Workers Compensation Adjuster - 3002838096 issued 11/20/2023
Timeline
Claims Adjuster
Chubb Insurance
05.2022 - Current
Workers Compensation Claims Assistant Promoted to Workers' Compensation Claims Specialist
The New York Black Car Fund
08.2016 - 04.2022
Workers Compensation Paralegal
Pasternack, Zeigle, Walsh Stanton and Roman LLC
04.2014 - 08.2016
College Assistant
Hostos Community College
08.2009 - 07.2014
Recruiter / HR Manager
Third Floor Promotions
06.2006 - 07.2008
Office Manager
Third Floor Promotions
06.2006 - 07.2007
Circulation Analyst
AMNewYork
07.2004 - 06.2005
TEAM LEADER
AMNew York
01.2004 - 06.2005
Receptionist/Office Facilities Assistant
Seventeen Magazine
01.1999 - 01.2001
BMCC
Associate of Arts from Paramedic
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