Summary
Overview
Work History
Education
Skills
Languages
Interests
Timeline
Generic

Marie Michigami

Redmond,WA

Summary

Dynamic quality assurance professional with a proven track record at the US Department of Labor, excelling in claims analysis and customer service. Adept at mentoring teams and resolving complex issues, leveraging strong problem-solving skills and a friendly demeanor to enhance stakeholder satisfaction. Committed to delivering timely, accurate results in high-pressure environments.

Overview

34
34
years of professional experience

Work History

Quality Assurance and Mentoring (QAM)

US Department of Labor, Office of Federal Workers’ Compensation Programs
Seattle, WA
11.2023 - 12.2025

Under the Branch of Program Integrity, Fraud Prevention, and Prescription Management, I took substantive, timely, and accurate initial adjudicatory actions in reconsideration and remand cases; accurately performed assessments and audits of claims action quality and provided mentoring and training to claims examiners as needed; supported mission critical Program Plan goals by managing specially assigned cases, completed special projects, and used respectful, effective , and timely communication techniques to deliver customer service to stakeholders. Acted as a liaison between claimants and the assigned claims examiners to resolve their concerns or questions.

Supervisor: Rod Fulgencio at 904-710-7017

Claims Examiner

US Department of Labor, Office of Federal Workers’ Compensation Programs
Seattle, WA
11.2002 - 11.2023

Analyzed and processed Federal Workers' Compensation claims by investigating and gathering information in order to determine the exposure on the claim. Processed complex or technically difficult cases, to determine entitlement, to calculate and issue compensation payments to injured workers. Developed and managed cases through well-developed action plans into logical conclusions independently; frequently communicated with all involved parties. I served public, and the communication skills were utmost importance in managing the cases.

Supervisor: Keith Guglielmi at 267-687-4055

Glen Croman at 206-504-5151

Service Representative

Social Security Administration
Oregon City, Oregon
09.2000 - 10.2002

Assisted general public with questions/concerns pertaining to Social Security Insurance benefits. Set up meetings with public to discuss over payment/entitlement matters into resolution.

Supervisor: Mark Factor at 503-655-2790 (ret.)

Claims Manager

Liberty Northwest Insurance Company
Portland, OR
07.1991 - 09.2000

Calculated indemnity and managed Oregon State Workers' Compensation benefits. Held periodic reviews with policyholders in order to establish reserves on each workers compensation cases. Provided customer service by phone to all involved parties, including but not limited to claimants, employers, medical/rehabilitation providers, and attorneys offices.

Education

Certificate of Completion - Medical/Insurance Claims Management

Business Computer Training Institute
Beaverton, OR
06-1991

Certificate of Completion - Travel/Hospitality

Western Business College
Portland, OR
12-1988

Skills

  • Friendly, positive attitude
  • Teamwork and collaboration
  • Customer service
  • Problem-solving

Languages

Japanese
Native or Bilingual

Interests

I am an avid tennis player I currently play in the United States Tennis Association (USTA) league I had served as a captain I also enjoy travelling both domestic and international destinations I enjoy outdoor activities such as running, snow skiing, swimming, and hiking I was a Tough Mudder finisher in June 2017 in Whistler BC Canada, and many half marathon races

Timeline

Quality Assurance and Mentoring (QAM)

US Department of Labor, Office of Federal Workers’ Compensation Programs
11.2023 - 12.2025

Claims Examiner

US Department of Labor, Office of Federal Workers’ Compensation Programs
11.2002 - 11.2023

Service Representative

Social Security Administration
09.2000 - 10.2002

Claims Manager

Liberty Northwest Insurance Company
07.1991 - 09.2000

Certificate of Completion - Medical/Insurance Claims Management

Business Computer Training Institute

Certificate of Completion - Travel/Hospitality

Western Business College

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