Summary
Overview
Work History
Education
Skills
References
Certification
Awards
Committees
Accomplishments
References
Timeline
Generic

Michele Berrington

Sparks

Summary

Resourceful Claims Supervisor, known for high productivity and efficient task completion. Skilled in claims, expertise in investigating complex claims, and efficiently resolving disputes, communication, and critical thinking to effectively manage teams and ensure optimal outcomes in complex situations.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Workers' Compensation Claims Supervisor

Gallagher Bassett
04.2019 - Current
  • Lead a team of 4-5 adjusters.
  • Responsible for initial, monthly and 90 day diary to assure claims are managed to Best Practices and jurisdictional law.
  • Attend claims reviews.
  • Approve reserves and large payments.
  • Collaborate with clients.
  • Annual reviews and coaching.
  • Training of new adjusters.

Lead Resolution Manager

Gallagher Bassett
04.2019 - Current
  • Responsible for the third-party administration of workers' compensation claims in Arizona.
  • Manage high profile employers and claims with a focus on cost reduction, accurate reserving and effective resolution of litigated claims with a focus on Best Practices.
  • Attend claims reviews for employers.
  • Maintain relationships with brokers and agents.
  • Assist in mentoring and training other team members.

Director

Renown Health
04.2014 - 02.2019
  • Responsible for all aspects of the Occupational Health and Medicine program to include new employee orientation, with an originating revenue base of $900,000 annually and grew to over $16 million annually.
  • Oversaw 13 clinics and up to 10 direct reports.
  • Built and maintained relationships with employers, providers and payers.
  • Utilized my workers' compensation background to assist injured workers through the process of their claim and assisted payers with information when requested.

Workers' Compensation Claims Manager

WorkersChoice
06.2009 - 04.2014
  • Responsible for the third-party administration of workers' compensation claims for Renown Health employees and other clients.
  • Successfully reduced the self-insured bond from over $1.2 million to just under $600,000 in two years.
  • Managed claims with a focus on cost reduction, accurate reserving and effective resolution of litigated claims.
  • Provided leadership and guidance to the claims team.
  • Attended claims reviews for employers and participated in excess insurance audits.
  • Successfully completed the 5-year audit with State with no findings.

Medical Review Specialist

Specialty Health
08.2008 - 06.2009
  • Managed and reviewed medical requests and authorizations for approval or denial on behalf of workers' compensation payers and employers.

Sr. Claims Examiner

Republic Indemnity
02.1998 - 01.2008
  • Responsible for management of multi-state workers' compensation indemnity claims in AZ, NV, UT, CO, KS and MO including litigation and subrogation with a caseload of around 200 claims.
  • Successfully litigated or settled cases with a focus on cost reduction and accurate reserves.
  • Largest claim managed was over $11 million in reserve.

Education

Saguaro High Scholl
Scottsdale, AZ
06-1988

Skills

  • Claims management and litigation
  • Reserve approval
  • Cost reduction
  • Regulatory compliance
  • Client collaboration
  • Employee training

References

UPON REQUEST

Certification

  • Hearing license, Nevada
  • Adjuster License, Nevada, Arizona
  • WCCA
  • WCCP

Awards

  • GB Star Award winner
  • Two time Top 50 GB RM
  • One time Top 100 GB RM

Committees

  • Prior Member - Nevada Self Insured Association
  • Prior Legislative Committee
  • Prior Member Nevada Self Insured Association
  • Prior Chair, Subsequent Injury Fund for Self-Insured Employers

Accomplishments

  • Top 50 and/or 100 Resolution Managers 5 years straight

References

References available upon request.

Timeline

Workers' Compensation Claims Supervisor

Gallagher Bassett
04.2019 - Current

Lead Resolution Manager

Gallagher Bassett
04.2019 - Current

Director

Renown Health
04.2014 - 02.2019

Workers' Compensation Claims Manager

WorkersChoice
06.2009 - 04.2014

Medical Review Specialist

Specialty Health
08.2008 - 06.2009

Sr. Claims Examiner

Republic Indemnity
02.1998 - 01.2008

Saguaro High Scholl

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