Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Narineh Nikki Sarkissian

Fountain Valley,CA

Summary

Accomplished Assistant Claims Manager with a proven track record at State Compensation Insurance Fund, SCIF, enhancing claim handling processes and organizational growth. Expert in claims management and team leadership, demonstrated through streamlined operations and effective staff development. Skilled in claims analysis and fostering customer satisfaction, significantly contributing to efficiency improvements and team motivation.


Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.


Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

23
23
years of professional experience

Work History

Assistant Claims Manager

State Compensation Insurance Fund, SCIF
2018.08 - Current
  • Assisted in the development of improved guidelines for claim handling processes to increase overall efficiency.
  • Coordinated regular departmental meetings to discuss ongoing projects, challenges, and opportunities for improvement.
  • Manage (plan, organize, direct and control) a unit responsible for proactively adjusting, finalizing and controlling a case assignment and/or specialized assignment(s).
  • Collaborated with other department managers to create cross-functional initiatives for organizational growth.
  • Recruit, hire, train, develop, appraise and discipline staff.
  • Ensure timely and accurate liability decisions and benefit provision.
  • Manage and coordinate special projects as assigned by Claims Management or Corporate management.
  • Contribute to the Claims management team.

Senior Workers Compensation Claims Adjuster

State Compensation Insurance Fund, SCIF
2015.10 - 2018.08
  • Ensure timely and accurate liability decisions and benefit provision.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Proactively, manage, finalize and control inventory of cases.
  • Establish and maintain timely, current, accurate and adequate estimates and case documentation. Obtained relevant evidence and information regarding suspicious claims.
  • Participate in Claims Training program and act as a training resource.

Workers Compensation Claims Adjuster

State Compensation Insurance Fund, SCIF
2003.12 - 2015.09
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Ensure timely and accurate liability decisions and benefit provision.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Proactively, manage, finalize and control inventory of cases.
  • Establish and maintain timely, current, accurate and adequate estimates and case documentation. Obtained relevant evidence and information regarding suspicious claims.
  • Participate in Claims Training program and act as a training resource.

Workers Compensation Claims Technician

State Compensation Insurance Fund, SCIF
2001.09 - 2003.12

My first position as a claims technician was in the First Call Unit which there I helped with setting the claim by making a three point contact (employer, injured and medical facility). Next step was as a pre-mod adjuster. I would adjust disability and non-disability cases. Managed a caseload of 120 disability and 100 non-disability cases clients.

  • Actively participated in continuous learning initiatives to stay updated on industry trends and advancements in technology.
  • Demonstrated adaptability when faced with new challenges or technologies, enabling quick mastery of necessary skills.

Education

No Degree - Business Administration And Management

Orange Coast College
Costa Mesa, CA

High School Diploma -

Fountain Valley High School
Fountain Valley, CA
06.1996

Skills

  • Claims Management Expertise
  • Claim investigation
  • Claims Auditing
  • Planning and Organization
  • Team motivation
  • Claims analysis
  • Team Management
  • Quality Assurance
  • Performance monitoring
  • Procedure Implementation
  • Customer Expectations Management

Accomplishments

    Received an Achievement Award in 2007

    Received PACE 1% Award two years in a row from 2005 - 2006

    Received an Achievement Award in 2002

Timeline

Assistant Claims Manager

State Compensation Insurance Fund, SCIF
2018.08 - Current

Senior Workers Compensation Claims Adjuster

State Compensation Insurance Fund, SCIF
2015.10 - 2018.08

Workers Compensation Claims Adjuster

State Compensation Insurance Fund, SCIF
2003.12 - 2015.09

Workers Compensation Claims Technician

State Compensation Insurance Fund, SCIF
2001.09 - 2003.12

No Degree - Business Administration And Management

Orange Coast College

High School Diploma -

Fountain Valley High School
Narineh Nikki Sarkissian