MaryEllen Bashaw, SIP
Temple,Tx
Summary
Workers Compensation Captive Insurance Claims Expert with 360 degree technical expertise in the Workers' Comp insurance business. Bringing over 30 years of experience in all facets of the of the marketplace from adjusting to predictive analytics to program building. Multi-jurisdiction Claims Supervisor dedicated to quality investigation, adjustment, and supervision of diverse cases. Blends strategic planning and leadership strengths to establish top-performing claims departments. Trains and mentors staff, optimizing compliance with policies, procedures and applicable laws.
Overview
27
27
years of professional experience
Work History
Senior Workers Compensation Claims Supervisor
Cannon Cochran Management Services
2022.12 - Current
- Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Assisted Claims/Branch Manager operations ., specificlly- staffing and program plan proposals, caseload redistribution/reorganization, and presiding as acting Claims Manager in CM's Absence.
- Mentored junior staff members in their career development, sharing knowledge from years of experience in the field.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Cultivated strong relationships with key clients or stakeholders through consistent communication and excellent service delivery.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives, and communication goals.
Regional WC Claims Supervisor
Creative Risk Solutions
2019.02 - 2022.06
- Monitored team performance, enforcing compliance with corporate claims processes and procedures and carrier partner expectations.
- Built talented teams of claims administrators dedicated to timely and compliant resolutions.
- Cultivated productive relationships with stakeholders, facilitating claims lifecycle.
- Built and re-constructed dividend generating Captive Insurance programs for client base.
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
- Prepared internal as well as state regulatory reports. Assist clients with their annual state regulatory reporting.
- Identified improvement changes regarding key processes for internal controls and accounting procedures.
- Analyzed and negotiated preferred vendor rates for additional corporate cost assurance.
- Liaison between insured clients, carrier insurance company partners, and third party claims administrator.
Team Lead
Meadowbrook Insurance Group
2015.06 - 2019.02
- Managing all facets of California Workers' Compensation claims adjustment from inception to finalization
- Specialization in training, technical expertise, and major account education and retention
- Enterprise Account Management and Policy holder liaison
- Supervised team of 5 in addition to orientation and training of training program new hire associates
- Project Management Teams: updating corporate policy and procedure manuals and best practices
- Audit team member for quarterly Branch Service Audits, PAR Audit consultant
- Development and revision of large self-insurance based specific excess insurance division including monitoring reported claims, claims management/proactive settlement round tables with TPAs, updating corporate reporting templates and audit criteria.
Senior Medical Record Review Auditor
Elevate Services
2013.07 - 2015.07
- Elevate Services Medical Bill and Record Review Unit-Internationally recognized defense liability insurance industry expert witness testimony
- Analyze medical records, billing and coding, and ancillary evidence to determine reasonable value of tort insurance cases
- Knowledgeable in multiple state jurisdictions
- Produce expert testimony preparation notes utilized by expert as reference during testimony.
Workers' Compensation Manager
Gardner Trucking, Inc
2011.09 - 2014.08
- Brought Workers Compensation Program from small business to national corporate operational level
- Slashed first year claims costs over 30% annually
- Knowledge of WA, OR, IA, AZ, TX, and LA Workers' Compensation jurisdictions
- Directed claims management services of out of state insurance administrator unit of 13 adjusters
- Authored written Technical Aspects of Service (TAS) Directive component of underwriting contract, training and staff educational development, proactive claims management, and effective
- Key Performance Indicators (KPIs)
- Directed service expectations and communication standards for all vendors including defense attorneys and medical providers
- Development and implementation of Federal OSHA/Cal OSHA compliant IIAPP policies and procedures including site based root cause/corrective action risk analysis and tracking systems
- Developed and implemented written Industrial Injury policy and procedure section of corporate policy Employee and Safety Handbook.
- Implemented Manager/Supervisor work related injury training sessions
Workers Compensation Compliance Officer
State of California DIR/OSIP
1997.12 - 2011.07
- Responsible for auditing Southern California self-insured certificate holders for reserve adequacy
- Maintaining optimum statutory compliance in accordance with department regulations
- Provided cost containment analysis and strategic settlement consultation to third party administrators and self-administered certificate holders
- Educate third party administrators and self-insured certificate holders regarding department regulations, current industrial labor statutes, and relevant case law.
Education
SIP Certified CA Experienced Adjuster Designation -
State of California
Office Of Self-Insurance PlansResident Workers Compensation Adjuster - #2883135
State of Texas
08.2022
Bachelor of Arts - English Literature
University of California
Riverside, CA1986
Skills
- Proactive claims resolution
- Cost assurance and Contract Negotiation
- Predictive Analytics
- Project Management
- Program development
- Expert in Statutory Compliance/PAR Audit Consult
- Client retention and education
- Multi State experience
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Senior Workers Compensation Claims Supervisor
Cannon Cochran Management Services
2022.12 - Current
Regional WC Claims Supervisor
Creative Risk Solutions
2019.02 - 2022.06
Team Lead
Meadowbrook Insurance Group
2015.06 - 2019.02
Senior Medical Record Review Auditor
Elevate Services
2013.07 - 2015.07
Workers' Compensation Manager
Gardner Trucking, Inc
2011.09 - 2014.08
Workers Compensation Compliance Officer
State of California DIR/OSIP
1997.12 - 2011.07
SIP Certified CA Experienced Adjuster Designation -
State of California
Resident Workers Compensation Adjuster - #2883135
State of Texas
Bachelor of Arts - English Literature
University of California
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