MICHELLE NESS
563 Beaver Dam Drive North, Cedar,MN
Summary
Organized and dependable with extensive experience in the workers' compensation industry. Solid abilities in developing objectives and strategies for cost effective claim resolution.
Overview
22
22
years of professional experience
Work History
Senior Injury Manager
TLC Companies, Inc.
01.2008 - Current
- Ensure workers' compensation claims are being investigated timely and properly handled for our transportation clients across the country
- Communicate with employees, clients and the insurance company to strategize and develop a resolution plan
- Participate in routine claim reviews
- Coordinate return to work for injured workers
- Work as a team with adjusters, nurses, and attorneys to keep claim costs down
- Review and analyze reserve and settlement authority
Senior Workers' Compensation Adjuster
Gallagher Bassett Services, Inc
01.2005 - 12.2007
- Provide accurate and timely management of lost time, high risk, litigated and catastrophic workers' compensation claims
- Investigate compensability and determine/calculate benefits as appropriate
- Filing of state forms
- Communicate with clients, employee's, brokers, attorneys and interested parties on claim status
Medical Only Workers' Compensation Adjuster
Gallagher Bassett Services, Inc.
01.2002 - 12.2004
- Review and process Medical Only claims with no lost time beyond the statutory waiting period
- Identifying claims to be transferred for further investigation
- Communicating with employees, providers and clients
Office Assistant
Gallagher Bassett Services, Inc.
09.2001 - 12.2002
- Front office -answering phones, sorting mail, supporting staff
Education
St. Francis High School
Saint Francis, MNSkills
- Effective organization
- Teamwork and Collaboration
- Goal Setting
- Problem Solving
- Time Management
- Excellent Communication
Additional Information
Successfully completed several employer courses and training related to the workers' compensation industry in multiple jurisdictions.
Timeline
Senior Injury Manager
TLC Companies, Inc.
01.2008 - Current
Senior Workers' Compensation Adjuster
Gallagher Bassett Services, Inc
01.2005 - 12.2007
Medical Only Workers' Compensation Adjuster
Gallagher Bassett Services, Inc.
01.2002 - 12.2004
Office Assistant
Gallagher Bassett Services, Inc.
09.2001 - 12.2002
St. Francis High School
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