Margaret Hellebusch
Jonesburg,MO
Summary
Adept at navigating complex workers' compensation claims, I leveraged analytical thinking and exceptional communication to streamline processes at Allianz. My expertise in claims investigation and case management coordination significantly enhanced efficiency and customer satisfaction, demonstrating a proven track record of strategic decision-making and achievement beyond daily tasks.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Workers' Compensation Claims Adjuster II
Allianz
Petaluma, CA
05.2015 - 01.2025
- Investigated workers' compensation claims to determine eligibility and extent of coverage.
- Reviewed medical records, interviewed employers and claimants, analyzed wage loss calculations, and reviewed evidence for accuracy.
- Prepared detailed reports on claim findings including all pertinent information such as injury description, cause of accident, employer responsibility, and liability.
- Processed benefit payments in accordance with applicable laws and regulations.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Maintained updated knowledge through continuing education and advanced training.
- Contributed to designing enhanced procedures for optimizing the handling of workers' compensation claims.
- Delivered outstanding customer service by addressing inquiries from claimants, employers, attorneys, and stakeholders promptly.
Education
Bachelor of Science - Criminal Justice
Southeast Missouri State University
Cape Girardeau, MO12-1990
Skills
- Claims investigation expertise
- Communication skills
- Analytical Thinking Skills
- Return-to-work strategies
- Case Management Coordination
- Strategic Decision-making
- Claims Processing Expertise
Certification
- Licensed in multiple states - Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, New Hampshire, New York, North Carolina, Oklahoma, Rhode Island, South Carolina and Texas (designated home state)
- New York Independent Adjuster License - Motor Vehicle No-Fault & Workers' Comp Health Service Charges
Timeline
Workers' Compensation Claims Adjuster II
Allianz
05.2015 - 01.2025
Bachelor of Science - Criminal Justice
Southeast Missouri State University