Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Michael Salazar

Walnut Creek,CA

Summary

Highly experienced Senior Claims Adjuster renowned for exceptional performance in managing California workers' compensation claims. Expertise encompasses comprehensive claims practices, proficient handling of Alternative Dispute Resolution (ADR) methodologies, and effective mediation and arbitration processes, ensuring the successful resolution of disputed claims.

Overview

11
11
years of professional experience

Work History

Senior Workers' Compensation Claims Adjuster

CopperPoint Insurance Companies
2021.11 - Current

• Managed 110 advanced-level indemnity claims with diverse portfolios, including complex and large loss cases. Achieved a 230% closure ratio through early settlement strategies with valuations up to $1,500,000.
• Demonstrated advanced proficiency in Alternative Dispute Resolution (ADR). Authored a comprehensive ADR guide for peers and enhanced compliance and effectiveness in ADR practices. Contributed to high client retention and satisfaction.
• Excelled in reserve analysis and exposure projection. Consistently validated evaluations with subsequent developments. Showcased robust analytical and critical thinking skills.
• Developed and executed effective claim resolution strategies. Efficiently handled negotiations and mediations. Maintained high standards in documentation, liability determination, and policy coverage analysis.
• Led team development efforts by facilitating roundtable discussions. Provided insights on state compliance and claims management. Recognized for dedication to team success.
• Established strong professional relationships with stakeholders such as ombudsmen. Boosted the efficacy of ADR methodologies. Played a crucial role in team and enterprise success.
• Maintained effective communication with claimants, employers, attorneys, and internal teams. Employed superior verbal and written communication skills to articulate complex coverage determinations and facilitate negotiations clearly.

Senior Claims Adjuster

Berkshire Hathaway Homestate Companies
2014.11 - 2021.11

• Expertly managed and resolved up to 135 senior-level workers’ compensation indemnity claims involving complex, technical, and catastrophic losses, consistently determining accurate reserves and settlement values up to $550,000.

• Successfully ranked within the top four Claims Adjusters by swiftly and effectively handling high-exposure claims, including death cases, achieving claim resolutions 35% faster than peers, and finalizing 68% through Compromise and Release.

• Developed and executed innovative settlement strategies, adeptly adjusting reserves in response to significant updates and medical-legal developments, which consistently led to scoring between 95%-98% in quarterly Reserve Audits.

• Demonstrated exceptional ability in stakeholder management and compliance with best practices, earning recognition through the company’s Shared Values Program for outstanding relationship management and communication skills.

• Proactively mentored junior adjusters, significantly speeding up their professional development and promotion, while managing third-party vendors to mitigate claim exposures, consistently earning "Highly Effective" ratings in performance reviews.

• Maintained a high-volume caseload, averaging 10.5 monthly resolutions and demonstrating strong multitasking, critical thinking, and analytical skills, crucial for timely and effective claim handling.

• Certified and active adjusters license holder in California, with profound knowledge in policy analysis, coverage determination, and complex claims litigation strategies, ensuring adherence to legal and procedural standards.

Account Representative II

Monterey Financial Services
2013.02 - 2014.11

• Led a team of six account representatives, and drove consistent achievement of monthly targets. As a result, three team members received Employee of the Month honors.
• Enhanced team productivity by providing targeted coaching on communication, time management, and organizational techniques. This helped all team members consistently meet their goals.
• Promoted a collaborative work environment by assisting team members in effectively prioritizing and resolving accounts. This significantly contributed to the achievement of departmental targets.
• Consistently surpassed monthly performance goals by conducting in-depth analysis of customer accounts. This facilitated successful negotiations and collection efforts.

Education

Bachelor of Arts in Economics (Major), Bachelor of Science in Statistics (Minor) -

University of California Davis
Davis, CA
12.2012

Skills

  • Workers' Compensation Laws Mastery
  • Alternative Dispute Resolution
  • Settlement Negotiation
  • Claims Management
  • Case Reserving Accuracy
  • Strategic Decision-Making
  • Strong Analytical Abilities
  • Risk Assessment and Management
  • Litigation Management
  • Training & Development
  • Organizational Competence
  • Interpersonal Savvy
  • Litigation Management

  • Training & Development

  • Organizational Competence

  • Interpersonal Savvy

Timeline

Senior Workers' Compensation Claims Adjuster

CopperPoint Insurance Companies
2021.11 - Current

Senior Claims Adjuster

Berkshire Hathaway Homestate Companies
2014.11 - 2021.11

Account Representative II

Monterey Financial Services
2013.02 - 2014.11

Bachelor of Arts in Economics (Major), Bachelor of Science in Statistics (Minor) -

University of California Davis
Michael Salazar