Kimberly Carrete
Syracuse
Summary
Accomplished Litigation Specialist with a proven track record at PMA Insurance Company, adept in claims investigation and settlement negotiation. Excelled in delivering customer satisfaction through critical thinking and advanced communication skills. Demonstrated expertise in managing complex claims, ensuring compliance with NYS guidelines, and enhancing team collaboration. Over 20 years of experience in workers compensation, both TPA & Carrier.
Overview
17
17
years of professional experience
Work History
Litigation Specialist
PMA Insurance Company
11.2007 - Current
- Investigate, evaluate & resolve claims of complex nature.
- Ensure timely payment/denial of benefits in accordance with NYS jurisdictional guidelines.
- Establish & maintain appropriate reserves with documented rationale.
- Establish & implement appropriate action plans for case resolution including medical & disability management, litigation management, negotiation & disposition.
- Negotiate settlement of claims.
- Provide high degree of customer service to clients.
- Communicate effectively, verbally & in writing with internal & external parties on a wide variety of claims & account issues.
- Effectively work with various vendors if/when needed.
- Assist in various projects.
Education
High School Diploma -
Henninger High School
Syracuse, NY06-1990
Skills
- NY Claims Adjuster License
- Critical thinking
- Claims investigation
- Highly motivated
- Team collaboration
- Advanced oral and written communication skills
- Decision-making
- Settlement negotiation
- Caseload management
- Best practices implementation
- Customer service
- Problem-solving
- Multitasking and organization
- Verbal and written communication
- Exposure analysis
Timeline
Litigation Specialist
PMA Insurance Company
11.2007 - Current
High School Diploma -
Henninger High School
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