Open To Work
LECHELL HALL
Chino,CA
Work Preference
Summary
Results-driven Senior Claims Examiner with extensive expertise in Workers' Compensation and customer service. Expert in risk management and data analysis, adept at handling complex tasks with precision and quality. Proven team player with strong leadership skills, eager to leverage comprehensive knowledge in support of an established organization.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Claims Examiner
Innovative Claim Solutions
San Ramon
06.2025 - Current
- Investigated, evaluated, and concluded claims, exceeding client expectations.
- Conducted legal research to optimize settlement amounts.
- Analyzed medical records for accuracy in claims processing.
- Negotiated settlements effectively to ensure equitable resolutions.
- Reviewed complex insurance claims for coverage and liability.
Senior Claims Examiner
JT2 Integrated Resources
Oakland
07.2024 - 05.2025
- Analyzed medical records to ensure claim accuracy.
- Researched laws for optimal settlement determination.
- Negotiated settlements to achieve fair resolutions.
- Adjusted reserves to align with risk guidelines.
- Reviewed insurance claims for coverage and liability.
Senior Claims Examiner
Corvel
Folsom
09.2023 - 06.2024
- Managed Workers' Compensation claims, adhering to regulatory guidelines.
- Documented confidential claim files, ensuring data accuracy.
- Provided excellent service to clients and co-workers.
Senior Claims Examiner
Sedgwick
Concord
10.2019 - 09.2023
- Investigated claims for Hilton Hotel, ensuring compliance with guidelines.
- Managed Workers' Compensation claims to successful conclusions.
- Maintained confidential files and statistical analysis of work.
Claim Examiner
AIG
Santa Ana
06.2012 - 10.2019
- Managed Workers' Compensation claims, exceeding client expectations.
- Documented and maintained confidential claim files accurately.
- Delivered excellent service to clients and co-workers.
Claims Examiner II
Tristar Risk Management Group
Alhambra
12.2007 - 05.2012
- Handled claims for City Of Los Angeles Police Department efficiently.
- Managed Workers' Compensation claims, ensuring regulatory compliance.
- Maintained confidential files and provided statistical analysis.
Skills
Workers' Compensation
Risk Management
Data Analysis
Statistical Analysis
Computer Literacy
Medical Terminology
Hospital Experience
Verbal and written communication
Litigation management
Multitasking
Certification
- CA-16 Permanent Disability Rating
- CA-12 Medical Terminology
- CA-10 Basic Workers Compensation
- Self-Insured Certificate
ADDITIONAL INFORMATION
- Overview
- Experienced in Worker's Compensation and customer service. Strong team player skilled in leadership and multitasking with a focus on accuracy and quality.
- Determined hard-working professional that has experience in Worker's Compensation, as well as customer service. Excels in team playing techniques, as well as processing key and critical components of leadership. Ability to handle multiple tasks, while adhering to accuracy, quality and adapting to meet guidelines. Eager to contribute existing skills, coupled with recent experience towards benefiting an established company. Willing to be flexible to learn new skills necessary for growth.
PROFESSIONAL ATTRIBUTES & CERTIFICATIONS
- Keyboarding
- Able to type 50 words per minute
- Computer Literacy
- Microsoft Office Suite
- Excel skills
- Claims management systems (e.g., Juris, IVOS)
- Bill review systems (e.g., Medata, CompIQ)
- Utilization review portals and medical management platforms
Timeline
Senior Claims Examiner
Innovative Claim Solutions
06.2025 - Current
Senior Claims Examiner
JT2 Integrated Resources
07.2024 - 05.2025
Senior Claims Examiner
Corvel
09.2023 - 06.2024
Senior Claims Examiner
Sedgwick
10.2019 - 09.2023
Claim Examiner
AIG
06.2012 - 10.2019
Claims Examiner II
Tristar Risk Management Group
12.2007 - 05.2012