Kelly King
Wynantskill,NY
Summary
Results-driven WC Claim Supervisor with expertise in medical guidance and operational oversight. Proven track record in enhancing team performance and ensuring quality assurance in high-severity environments.
Overview
11
11
years of professional experience
Work History
WC Claim Supervisor
CCMSI
Clinton, IA
11.2025 - Current
- Provide medical and operational guidance to claims professionals handling complex WC exposures.
- Support examiner education involving medical treatment evaluation, specifically how to respond to their own PARs with 97% efficiency/affirmation by WCB.
- Assist with operational oversight and quality-focused claim review initiatives.
Senior WC Examiner
Highview National Ins Com.
NY, NY
08.2025 - 12.2025
- Proposed innovative ideas and solutions that improved team performance and outcomes.
- Partnered with diverse coworkers to achieve goals and resolve issues related to products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Collaborated with cross-functional teams to enhance project processes.
Senrio Claims Examiner
biBERK
Scranton, PA
08.2023 - 08.2025
- Created training materials to enhance employee onboarding and support ongoing education programs.
- Evaluated workers compensation cases for appropriateness of care, cost effectiveness and compliance with state regulations.
- Identified and assessed discrepancies in workers compensation claims to detect fraud.
- Provided technical advice regarding complex coverages such as property, liability, workers compensation, auto and marine.
- Investigated fraud allegations related to workers' compensation claims.
- Coordinated with criminal justice personnel, including judges, prosecutors, defense attorneys, and social workers, to ensure comprehensive case management.
- Assisted in developing compensation packages for successful candidates based on current market data.
- Represented employers and insurance companies in administrative law court hearings for workers' compensation cases.
COVID Team
CorVel
Syracuse, NY
10.2020 - 03.2021
- Supported COVID-19 NYC hospital claims operations for healthcare workers and hospital systems during pandemic peak, conducting medical exposure analysis and compensability review to ensure timely support.
- Contributed to interdisciplinary claim strategy discussions on evolving occupational exposure standards and medical documentation review, influencing regulatory considerations to enhance compliance.
- Operated in fast-paced, high-severity environments, facilitating rapid medical interpretation and collaborative decision-making to provide effective crisis-response support.
Education
Associate of Science - Nursing
Samaritan Hospital School of Nursing
Troy, NY06-2007
Associate of Applied Science - Business Management
Mildred Elley
Albany, NY08-2003
Skills
- Claims supervision
- Claims analysis
- Claims training
- Quality assurance
- Process improvement
- Workflow management
- Team leadership
- Time management
- Problem solving
- Team building
Timeline
WC Claim Supervisor
CCMSI
11.2025 - Current
Senior WC Examiner
Highview National Ins Com.
08.2025 - 12.2025
Senrio Claims Examiner
biBERK
08.2023 - 08.2025
COVID Team
CorVel
10.2020 - 03.2021
Associate of Science - Nursing
Samaritan Hospital School of Nursing
Associate of Applied Science - Business Management
Mildred Elley