Lisa Todd

Sedgwick Claims Management

02.2016 - Current

Examined claims forms and other records to determine insurance coverage.
Answered questions posed by insured and attorneys.
Negotiated medical bill settlements to resolve disputes.
Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
Substantiated legitimate claims and denied unjustified claims.
Reviewed new files to determine current status of injury claim and to develop plan of action.
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Investigated claims involving potential and suspected fraudulent activities.
Trained other claims staff members on proper handling and evaluation of injury claims.
Maintained claims data in Voyager systems.
Partnered with legal counsel on litigation cases.
Organized, planned, and documented materials for arbitrated claims.
Prepared arbitrated documents for legal personnel.
Resolutions aimed to peacefully settle disputes.
Informed parties of relevant laws, regulations and constraints for cases.
Drafted settlement paperwork and gathered signatures from disputants to provide official documentation of agreed-upon solutions.
Monitored expenses of pending claims to comply with company expenditure guidelines and budgets.
Estimated cost of filing claims and applicable court or legal fees for claimant party.
Negotiated terms and handled settlements and adjustments with attorneys.
Responsible for hearings, arbitrations and claims litigation.