Lanette Garcia
Albuquerque,NM
Summary
Workers’ Compensation Claims professional experienced in indemnity and medical-only claim handling, reserve setting, bill review, and settlement support. Skilled in regulatory compliance, vendor coordination, and high-volume claims management. Strong background in customer service, operations, and leadership with a focus on accuracy and efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Indemnity Claims Adjuster
CCMSI
Albuquerque, NM
12.2025 - Current
- Handle WC indemnity claims including investigation, evaluation, reserves, and settlements
- Review and approve medical, legal, and expense invoices within authority levels
- Negotiate claims and coordinate with attorneys, providers, and vendors
- Manage subrogation and maintain detailed claim documentation
- Examined claims forms and other records to determine insurance coverage.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Medical-Only Claims Representative
CCMSI
Albuquerque, NM
06.2024 - 12.2025
- Set up and maintained medical-only WC claims and reserves
- Processed and resolved medical billing disputes and invoices
- Coordinated medical treatment updates and maintained claim records
- Supported adjusters with file management and compliance tasks
Wall Deli Leader / Customer Service
Smith's Marketplace
Albuquerque, NM
08.2015 - 05.2024
- Led deli operations, inventory control, and team training
- Ensured food safety, compliance, and customer satisfaction standards
- Handled cash transactions and customer service issues
- Managed stock rotation, audits, and merchandising
Education
Adjuster Training Courses (Current & Completed)
Continuing Education (CE)
Bachelor of Arts - Psychology
University of New Mexico
Albuquerque, NM05-2017
Associate of Arts - Criminology
University of New Mexico
Albuquerque, NM05-2021
Associate of Arts - Psychology
University of New Mexico
Albuquerque, NM05-2021
Associate of Arts - Sociology
University of New Mexico
Albuquerque, NM05-2021
Associate of Arts - Liberal Arts
University of New Mexico
Albuquerque, NM05-2021
Skills
- Workers’ Compensation Claims Indemnity Claims Medical-Only Claims Reserve Analysis Invoice Review & Negotiation Subrogation Litigation Support Claims Compliance Client Service Documentation Microsoft Office Time Management Customer Service Written and Verbal Communication Skills Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology
Certification
- Licensed Independent Adjuster – Workers’ Compensation
Timeline
Indemnity Claims Adjuster
CCMSI
12.2025 - Current
Medical-Only Claims Representative
CCMSI
06.2024 - 12.2025
Wall Deli Leader / Customer Service
Smith's Marketplace
08.2015 - 05.2024
Adjuster Training Courses (Current & Completed)
Continuing Education (CE)
Bachelor of Arts - Psychology
University of New Mexico
Associate of Arts - Criminology
University of New Mexico
Associate of Arts - Psychology
University of New Mexico
Associate of Arts - Sociology
University of New Mexico
Associate of Arts - Liberal Arts
University of New Mexico