Martha Garcia
Pico Rivera,CA
Summary
Experienced Workers’ Compensation Claims Specialist with over 30 years of progressive responsibility in managing and supervising complex, litigated claims. Strong leadership in team management, client relations, and structured settlements. Proven track record of delivering accurate, timely benefits and maintaining compliance with regulatory standards. Fluent in Spanish and highly organized in both on-site and virtual work settings.
Overview
40
40
years of professional experience
1
1
Certification
Work History
Claims Supervisor
Gallagher Bassett
11.2021 - Current
- Supervised 5 adjusters managing high-volume litigated and non-litigated workers’ comp files
- Oversaw 1 assistant and coordinated workload priorities
- Conducted regular client file reviews and maintained proactive communication with account reps
- Ensured diary compliance and timely resolution of disputes
Senior Workers’ Compensation Claims Examiner
Gallagher Bassett
11.2020 - 11.2021
- Handled complex claims from inception to closure, including structured settlements and MSA preparation
- Conducted regular status updates, file reviews, and collaborated with legal and medical professionals
- Managed return-to-work plans and SJDB cases; ensured timely delivery of all benefits
Senior Workers’ Compensation Claims Examiner
York Risk Services
01.2012 - 11.2014
- Managed a high caseload of litigated/non-litigated claims
- Monitored medical treatment and cost control strategies
- Prepared comprehensive claim summaries and worked closely with legal counsel and physicians
Senior Workers’ Compensation Claims Examiner
Zenith Insurance Company
01.2005 - 01.2012
- Specialized in AOE/COE investigations and permanent disability ratings
- Managed structured settlements and closely monitored return-to-work timelines
Senior Workers’ Compensation Claims Examiner
Royal & SunAlliance
01.1999 - 01.2005
- Delivered timely claim decisions, maintained strong client relationships, and led peer claim reviews
Claims Examiner
TRISTAR Risk Management
01.1996 - 01.1999
- Managed complex indemnity claims and coordinated with legal teams on litigated cases
Claims Assistant
TRISTAR Risk Management
01.1994 - 01.1996
- Processed disability payments, filed WCAB documents, and maintained accurate case tracking
Administrative Assistant
TRISTAR Risk Management
01.1986 - 01.1993
- Supported office operations and communication workflows; handled invoicing and document processing
Education
High School Diploma -
El Rancho High School
06-1986
Cerritos College
Norwalk, CASkills
- Workers’ Compensation Claims (Litigated & Non-Litigated)
- Team Supervision & Leadership
- Structured Settlements / MSA Preparation
- Client Relations & File Reviews
- Return-to-Work & SJDB Oversight
- Medical Cost Containment & Reserving
Certification
- Self-Insurance Administrator Certificate
- Insurance Educational Association Certificate
- Workers’ Compensation Claims Professional (WCCP) Designation
Technical & Interpersonal Strengths
- Proficient in claims management systems and electronic file documentation
- Strong written and verbal communication with injured workers, attorneys, and employers
- Independent, reliable, and effective in virtual or hybrid environments
Languages
Spanish
Timeline
Claims Supervisor
Gallagher Bassett
11.2021 - Current
Senior Workers’ Compensation Claims Examiner
Gallagher Bassett
11.2020 - 11.2021
Senior Workers’ Compensation Claims Examiner
York Risk Services
01.2012 - 11.2014
Senior Workers’ Compensation Claims Examiner
Zenith Insurance Company
01.2005 - 01.2012
Senior Workers’ Compensation Claims Examiner
Royal & SunAlliance
01.1999 - 01.2005
Claims Examiner
TRISTAR Risk Management
01.1996 - 01.1999
Claims Assistant
TRISTAR Risk Management
01.1994 - 01.1996
Administrative Assistant
TRISTAR Risk Management
01.1986 - 01.1993
High School Diploma -
El Rancho High School
Cerritos College
Similar Profiles
James PalitzschJames Palitzsch
Claims Supervisor at Gallagher Bassett ServicesClaims Supervisor at Gallagher Bassett Services
Myesha JenkinsMyesha Jenkins
Claims Intake Representative at Gallagher BassettClaims Intake Representative at Gallagher Bassett
Nexsy LandroNexsy Landro
Claims Supervisor /Resolution Associate Program at Gallagher BassettClaims Supervisor /Resolution Associate Program at Gallagher Bassett
Christopher RodriguezChristopher Rodriguez
Electrical Helper at Harbor UCLA Medical Center, LADHSElectrical Helper at Harbor UCLA Medical Center, LADHS
Ricardo GonzalezRicardo Gonzalez
Delivery Driver at Cook Event Services, Party RentalDelivery Driver at Cook Event Services, Party Rental