Mary D’Ambrosio
Absecon,NJ
Summary
Senior Claims Adjuster with 37 years experience in New Jersey Workers Comp claims. Expertise in claims analysis, settlement negotiation and achieving timely resolutions. An emphasis on effective communication and strategic decision-making.
Overview
37
37
years of professional experience
Work History
Senior Claims Adjuster
Claims Resolution Corp.
08.2024 - 08.2026
- Evaluated complex insurance claims to determine liability.
- Conducted investigations, gathering evidence to support claim decisions.
- Approved and scheduled medical appointments in accordance with the medical professionals recommendation.
- Collaborated with legal teams to resolve litigated claims.
- Documented in detail all claim activity.
Senior Workers' Compensation Claims Adjuster
AmeriHealth
08.2022 - 10.2024
- Evaluated complex insurance claims to determine liability.
- Conducted investigations, gathering evidence to support claim decisions.
- Approved and scheduled medical appointments in accordance with the medical professionals recommendation.
- Collaborated with legal teams to resolve litigated claims.
- Documented in detail all claim activity.
Claims Adjuster
Qual-Lynx
08.2017 - 08.2022
- Evaluated complex insurance claims to determine liability.
- Conducted investigations, gathering evidence to support claim decisions.
- Approved and scheduled medical appointments in accordance with the medical professionals recommendation.
- Collaborated with legal teams to resolve litigated claims.
- Documented in detail all claim activity.
Claims Adjuster
Gallagher Bassett
10.2013 - 08.2017
- Evaluated complex insurance claims to determine liability.
- Conducted investigations, gathering evidence to support claim decisions.
- Approved and scheduled medical appointments in accordance with the medical professionals recommendation.
- Collaborated with legal teams to resolve litigated claims.
- Documented in detail all claim activity.
Claims Adjuster
CCMSI
09.2007 - 06.2013
- Evaluated complex insurance claims to determine liability.
- Conducted investigations, gathering evidence to support claim decisions.
- Approved and scheduled medical appointments in accordance with the medical professionals recommendation.
- Collaborated with legal teams to resolve litigated claims.
- Documented in detail all claim activity.
Claims Adjuster
Rasmussen Administrators
04.1989 - 09.2007
- Evaluated complex insurance claims to determine liability.
- Conducted investigations, gathering evidence to support claim decisions.
- Approved and scheduled medical appointments in accordance with the medical professionals recommendation.
- Collaborated with legal teams to resolve litigated claims.
- Documented in detail all claim activity.
Education
High School Diploma -
Pleasantville High School
Pleasantville, NJSkills
- Claim analysis
- Claim investigation
- Exposure analysis
- Litigation management
- Claim file documentation
- Settlement negotiation and settlement
Timeline
Senior Claims Adjuster
Claims Resolution Corp.
08.2024 - 08.2026
Senior Workers' Compensation Claims Adjuster
AmeriHealth
08.2022 - 10.2024
Claims Adjuster
Qual-Lynx
08.2017 - 08.2022
Claims Adjuster
Gallagher Bassett
10.2013 - 08.2017
Claims Adjuster
CCMSI
09.2007 - 06.2013
Claims Adjuster
Rasmussen Administrators
04.1989 - 09.2007
High School Diploma -
Pleasantville High School