Mary Paz
Fredericksburg,VA
Summary
Accomplished Claims Professional with a robust background in claims analysis and compliance management, particularly with Travelers Insurance. Expertise in data-driven problem solving and litigation ensures precision and efficiency in claims processing. Recognized for exceptional customer service and a strong ability to streamline procedures, consistently enhancing operational outcomes. Career aspirations include further leveraging analytical skills to drive improvements within the industry.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Workers' Compensation Claims Adjuster
Travelers Insurance
Chantilly, VA
05.2005 - 12.2024
- Engaged claimants to collect additional claims data and explain claims procedures.
- Examined claims to ensure accuracy, compliance, and cost efficiency.
- Determined liability, compensability, and benefits due on each claim.
- Streamlined coordination between medical professionals and treatment arrangements based on claims policies.
- Analyzed calculations related to wage loss and assessed evidence for precision.
Senior Claims Examiner WC
Cambridge Integrated Svs
Mango, USA
08.2003 - 11.2004
- Conducted day-to-day administrative tasks to maintain information files and process paperwork
- Examined claims forms and other records to determine insurance coverage
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
Senior Claims Associate WC MARY
Kemper Insurance Company
Tampa, USA
01.1993 - 01.2003
- Engaged claimants to collect additional claims data and explain claims procedures.
- Examined claims to ensure accuracy, compliance, and cost efficiency.
- Determined liability, compensability, and benefits due on each claim.
- Streamlined coordination between medical professionals and treatment arrangements based on claims policies.
- Analyzed calculations related to wage loss and assessed evidence for precision.
Claims Examiner
Prince William County Risk Management
- Audited open files and provided recommendations
- Wrote Standard of Procedures for various claims functions
- Assisted in updating Policy and Procedure Manual for Claims
- Filed excess carrier claims for Prince William County Risk Mgmt
Education
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ05-2005
Senior Claim Law Associate -
American Educational Institute
Skills
- Claims Analysis
- Claims Oversight
- Compliance Management
- Data-Driven Problem Solving
- Litigation Experience
- Licensed Claims Professional
Certification
- Florida Non-Resident All Lines Adjuster
- North Carolina Workers Compensation Adjuster
- South Carolina Workers Compensation Adjuster
- Senlor Claims Law Associate
- Professional Property Insurance Adjuster
Languages
Spanish
Native/ Bilingual
Early Response Property Adjuster
- Member of Travelers ERT field team for catastrophic events -
Timeline
Workers' Compensation Claims Adjuster
Travelers Insurance
05.2005 - 12.2024
Senior Claims Examiner WC
Cambridge Integrated Svs
08.2003 - 11.2004
Senior Claims Associate WC MARY
Kemper Insurance Company
01.1993 - 01.2003
Claims Examiner
Prince William County Risk Management
- Florida Non-Resident All Lines Adjuster
- North Carolina Workers Compensation Adjuster
- South Carolina Workers Compensation Adjuster
- Senlor Claims Law Associate
- Professional Property Insurance Adjuster
Bachelor of Science - Business Management
University of Phoenix
Senior Claim Law Associate -
American Educational Institute
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