Dually licensed Workers' Compensation Claims Supervisor with experience managing claims processes and leading teams to ensure efficient and accurate handling. Track record of fostering teamwork and maintaining high standards in claims management.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Supervisor
Gallagher Bassett - Sompo Insurance
11.2022 - Current
Lead a team of adjusters handling complex workers' compensation claims in California and Nevada.
Monitor adjuster performance, ensuring adherence to state regulations and company standards.
Conduct regular audits and provide coaching to enhance claim handling and documentation.
Collaborate with legal teams and medical professionals to make informed settlement decisions within a $200,000 authority limit.
Implement process improvements that reduced claim cycle times and improved team productivity.
Align accounts and adjuster workloads based on client rapport and business priorities to ensure optimal case management.
Actively involved in the hiring process for new adjusters, including screening and assessing candidates for the Adjuster Trainee Program.
Awarded the internal "Ichibon Award" in recognition of exceptional initiative and effectiveness in resolving a major compliance challenge in Nevada upon onboarding.
Senior Claims Specialist
LIBERTY MUTUAL INSURANCE COMPANY
08.2021 - 11.2022
Managed high-volume caseload of complex workers' compensation claims from initiation to resolution.
Conducted thorough investigations for accurate liability determinations.
Collaborated with internal and external vendors to facilitate medical treatment and return-to-work.
Enhanced team productivity by providing ongoing training to junior claims specialists on best practices and industry trends with emphasis on reserving.
Participated in quarterly claim reviews, preparing and presenting approximately 20 claims each review.
Maintained compliance with regulatory requirements through diligent documentation of all claim activities.
Consistently met and exceeded performance metrics.
Claims Examiner
Benchmark Administrators
10.2016 - 08.2021
Progressed through roles of increasing responsibility, from Claims Assistant to Claims Examiner.
Handled indemnity and medical-only claims, ensuring timely and accurate processing.
Dedicated examiner on an account with admitted occupational disease claims.
Collaborated with medical providers and legal counsel to facilitate claim resolutions.
Maintained meticulous records and documentation to support claim decisions.
Recognized for attention to detail and ability to manage multiple priorities effectively.