Lori Partridge
Warrenville,IL
Summary
Claims professional well-versed in intricacies of claim management and resolution. Known for strategic approach to resolving disputes and ensuring compliance with industry standards. Reliable team collaborator with focus on achieving optimal outcomes and adapting to changing requirements. Skilled in negotiation and critical thinking.
Overview
34
34
years of professional experience
Work History
Subrogation Claims Specialist
Transdev Services
08.2018 - Current
- Working independently
- Ability to be flexible to meet the daily challenges
- Excellent negotiation skill sets and liability arguments
- Managed Webrisk data entry for completeness
- Produced additional reports as requested
- Review and audit subrogation files determining if the file should be closed or sent to collection if there is denial/no recovery
- Involved with the settlement of agreements
- Work directly with multi-car and pro-rata cases
- Call the identified adverse carriers to obtain claim information or file a claim if necessary
- Ensure that all documents needed to support the claim are attached to the subrogation file
- Pull additional documents as necessary for a demand from our vendor or client site
- Send requests to other departments for missing documentation
- Maintain detailed diary notes as to the status of the file each time it is worked
- Liaise and manage system follow-ups of all files for which negotiation techniques are required
- Negotiate disputed Diminished Value claims
- Assistance in the training of Claims and other Client Services Staff
- Ensure that all recovery checks received or allocated is electronically attached to the correct file, and payment history updated in an efficient and timely manner
- Recommend ways to improve processes and operations
- Collaboratively work with other departments to resolve customer quickly, efficiently, and empathetically and/or vendor issues
- Other duties as assigned
- Manages assigned caseload effectively and in accordance with productivity standards, prioritizing workflow tasks to move cases to final disposition
Paralegal
Lauchpoint
06.2016 - 04.2018
- Identify and develop subrogation opportunities
- Research and request case information to develop cases
- Place parties of interest on notice
- Maintain a calendar diary to monitor case activity
- Respond timely to all electronic, written and verbal communications
- Log information derived from written and verbal communication
- Keep detailed and accurate records
- Access and pull benefits from client's remote health claim systems
- Pursue worker's compensation, third party liability, first party uninsured and underinsured recovery, medpay coverage and no fault recoveries
- Use contractual provisions and apply to the reimbursement efforts
- Ensure compliance of state and federal laws
- Adhere to settlement authority levels
- Negotiate health plan medical claim settlements
- Maintain department productivity and quality standards
- Provide feedback to management and any trends that would help on future cases
Administrative Assistant
Rain Dogs Trucking
02.2015 - 03.2016
- Ensure that all invoices not paid are paid by pursuing the brokers directly
- Responsible for paying the majority of expenses
- Enter all business expenses into QuickBooks
- Resolve administrative problems by analyzing data, and identifying solutions
- Handle all damage claims that occur within the company
- Maintain workflow by implementing cost reductions
- Provide information by answering questions and requests
- Maintain supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies
Executive Assistant
Jack Rabbit USA
11.2009 - 04.2014
- Created an administrative department for Jack Rabbit USA which was then duplicated across the divisions
- Developed procedures for all contractors regarding deadlines and invoices
- Responsible for double checking all processed PO's to ensure correctness
- Tracked, calculated, printed and mailed weekly payroll for 100+ drivers, 30 dispatchers and 20 administrative personnel
- Deposited funds from the main company account to the three division accounts, based on the outgoing payments for the day
- Worked to convert contractors to employees (provided, collected and submitted proper government and company forms on behalf of the employees)
- Received, processed and investigated customer claims of driver caused damage
- Managed 10 administrative contractors/employees
- Trained personnel in each division to process their own payroll
- Developed processes to submit PO's for ten different motor clubs for other company locations
- Traveled periodically for face to face client meetings at various auto shows
Claims Representative
Allstate Insurance
06.2008 - 11.2009
- Processed PO's from providers
- Handled incoming calls regarding payment of PO's
- Worked on a team to develop new website features that allowed service providers to process their payments more efficiently
- Developed new procedures to streamline the processing of PO's to help save the company money
- Investigated duplicate, incorrect or cancelled PO'S
Recovery Specialist
ACS
02.2000 - 06.2008
- Handling subrogation cases over 900 files
- Negotiating with insurance companies and attorneys to collect the maximum amount on each file
- Case law used to support the reimbursement back to the clients we represent
- Experience in handling automobile, medical malpractice, homeowners, restitution cases
- Knowledge of comparing CPT AND ICD-9 codes to determine if related to accident
- Entering the lien amount provided to us from our clients data base
Customer Service Representative
Merck Medco
11.1997 - 11.1999
Collection Representative
National Revenue Corporation
05.1997 - 11.1999
Fraud Specialist
Victoria's Secret Catalogue
05.1994 - 05.1997
Assistant Manager
Fashion Bug
06.1991 - 05.1994
Education
Diploma -
Dublin High School
Columbus, OH06.1991
Skills
- Excel
- Outlook
- Word
- Customer service
- Team management
- Research
- Data analysis skills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Time management
- Decision-making
- Critical thinking
- Organizing and prioritizing work
- Attention to detail
- Multitasking Abilities
- Insurance coverage verification
Personal Information
Authorized To Work: US
Languages
English
Full Professional
Timeline
Subrogation Claims Specialist
Transdev Services
08.2018 - Current
Paralegal
Lauchpoint
06.2016 - 04.2018
Administrative Assistant
Rain Dogs Trucking
02.2015 - 03.2016
Executive Assistant
Jack Rabbit USA
11.2009 - 04.2014
Claims Representative
Allstate Insurance
06.2008 - 11.2009
Recovery Specialist
ACS
02.2000 - 06.2008
Customer Service Representative
Merck Medco
11.1997 - 11.1999
Collection Representative
National Revenue Corporation
05.1997 - 11.1999
Fraud Specialist
Victoria's Secret Catalogue
05.1994 - 05.1997
Assistant Manager
Fashion Bug
06.1991 - 05.1994
Diploma -
Dublin High School
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