Leah Gordon

Experienced team player with a solid accounting background. Capable of independently managing tasks and consistently surpassing expectations. Demonstrated proficiency in quickly adapting to and utilizing computer systems. Diligent and enthusiastic job seeker with exceptional organizational skills, aiming to obtain an entry-level [Job Title] role. Committed to assisting the team in accomplishing company objectives and contributing to overall success.

• Calculates and assigns appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state fillings within statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.