Noelle Van Alstyne
Pacific,MO
Summary
Experienced and accomplished workers’ compensation claims adjuster with over 25 years of experience in multiple industries including healthcare, trucking, farming and manufacturing.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Workers’ Compensation Examiner III
Sedgwick CMS
Minneapolis, MN
07.2021 - 04.2023
- Handled claims including three-point contacts, investigating and identifying inconsistent information, monitoring of files, review of third party actions, legal issues, and coordination of return to work throughout the life of the claim
- Negotiated settlement of claims
- Prepared necessary state filings to satisfy statutory requirements
- Managed claim recovery, including but not limited to subrogation, Second Injury Fund recoveries and Social Security offsets
- Reported claims to the excess carrier as well as obtained recovery
- Issued timely and appropriate indemnity benefits and monitored reserve funding throughout the life of the claim
- Utilized outside contracted vendors for insurance fraud surveillance or contract independent medical experts for claim cost reductions when deemed necessary to maintain the integrity of the claim.
Workers’ Compensation Senior Claims Representative
Gallagher Bassett Services
St. Louis, MO
03.2018 - 05.2021
- Handled workers’ compensation claims for multiple states
- Investigated and identified inconsistent information, monitored case files, reviewed third party actions, legal issues, and return to work progress reports throughout the life of the claim
- Reviewed claims for full exposure and negotiate settlements to anticipated targets
- Prepared necessary state filings complying with statutory reporting requirements
- Timely issued the appropriate indemnity benefits and monitor reserve adequacy throughout the life of claims
- Understood and followed client service instructions as well as legal statutes for multiple jurisdictional clients
- Managed quality control processes ensuring client’s money is used wisely and in ways that are most cost effective.
Cashier
Motomart Gas Station
Pacific, MO
01.2017 - 01.2018
- Provide cheerful help for our customers
- Complete sales transactions quickly and accurately
- Keep the store and property looking great, and maintain a clean, neat personal appearance
- Stock merchandise and keep price signs accurate and in position
- Keep the pay counter, merchandise, coolers, and display cases orderly and convenient
- Clean floors, restrooms, and counters, keep outside areas free of litter and fuel spills, and empty trashcans.
Senior Workers’ Compensation Adjuster/ Account Manager
The Best IRS
Phoenix, AZ
07.2016 - 10.2016
- Handle workers’ compensation claims for Missouri Self-Insureds
- Investigate and identify inconsistent information, monitor case files, review third party actions, legal issues, and return to work progress reports throughout the life of the claim
- Reviewed claims for full exposure and negotiate settlements to anticipated targets
- Prepare necessary state filings complying with statutory reporting requirements
- Timely issue the appropriate indemnity benefits and monitor reserve adequacy throughout the life of claims
- Understand and follow client service instructions
- Manage quality control processes ensuring client’s money is used wisely and in ways which are most cost effective.
Service Consultant
Lombardi Associates
Fairfield, NJ
04.2016 - 06.2016
- Contacted current clients to ensure they are happy with services and are not in need of anything further
- Contacted future potential clients to provide information on services offered
- Travel and expense planning to ensure clients were shown appreciation and seen on a personal level
- Ensured company’s finances are being utilized appropriately
- Provided a weekly sales report and work on ongoing training
- Worked closely with the Director and CEO of the company.
Senior Workers’ Compensation Adjuster/ Account Manager
The Best IRS
Phoenix, AZ
01.2016 - 04.2016
- Handled workers’ compensation claims for Missouri Self-Insureds
- Investigated and identified inconsistent information, monitored case files, reviewed third party actions, legal issues, and return to work progress reports throughout the life of the claim
- Reviewed claims for full exposure and negotiate settlements to anticipated targets
- Prepared necessary state filings complying with statutory reporting requirements
- Timely issued the appropriate indemnity benefits and monitor reserve adequacy throughout the life of claims
- Understood and followed client service instructions
- Managed quality control processes ensuring client’s money is used wisely and in ways that are most cost effective.
Office Manager/ Senior Claims Adjuster
S&C Claims Services, Inc.
Fenton, MO
10.2011 - 08.2015
- Built office from the ground up starting with finding the location, getting utilities set up, getting furniture delivered and ensuring office had passed appropriate inspections
- Handled the day to day managerial issues in the office and supervised employee’s work and timeliness of completing daily tasks as well as assigned projects
- Delegated appropriate tasks to appropriate company employees
- Ensured customer service was high priority and handled in a timely manner if a customer had a need
- Handled workers’ compensation claims for the state of Missouri
- Interfaced with other adjusters with York Risk Services (third party administrator) for claims that were outside of the Missouri jurisdiction
- Investigated and identified inconsistent information, monitored case files, reviewed third party actions, legal issues, and return to work progress reports throughout the life of the claim
- Reviewed claims for full exposure and negotiated settlements to anticipated targets
- Prepared necessary state filings complying with statutory reporting requirements
- Timely issuance of the appropriate indemnity benefits and monitored reserve adequacy throughout the life of claims.
Workers’ Compensation Senior Claims Representative
Gallagher Bassett Services
St. Louis, MO
05.2009 - 10.2011
- Handled workers’ compensation claims for multiple states
- Investigated and identified inconsistent information, monitored case files, reviewed third party actions, legal issues, and return to work progress reports throughout the life of the claim
- Reviewed claims for full exposure and negotiate settlements to anticipated targets
- Prepared necessary state filings complying with statutory reporting requirements
- Timely issued the appropriate indemnity benefits and monitor reserve adequacy throughout the life of claims
- Understood and followed client service instructions as well as legal statutes for multiple jurisdictional clients
- Managed quality control processes ensuring client’s money is used wisely and in ways that are most cost effective.
Workers’ Compensation Examiner III
Sedgwick CMS- Ascension Health
St. Louis, MO
11.2007 - 04.2009
- Handled claims including three-point contacts, investigating and identifying inconsistent information, monitoring of files, review of third party actions, legal issues, and coordination of return to work throughout the life of the claim
- Negotiated settlement of claims
- Prepared necessary state filings to satisfy statutory requirements
- Managed claim recovery, including but not limited to subrogation, Second Injury Fund recoveries and Social Security offsets
- Reported claims to the excess carrier as well as obtained recovery
- Issued timely and appropriate indemnity benefits and monitored reserve funding throughout the life of the claim
- Utilized outside contracted vendors for insurance fraud surveillance or contract independent medical experts for claim cost reductions when deemed necessary to maintain the integrity of the claim.
Workers’ Compensation Examiner II
UniGroup, Inc./ Vanliner Insurance
Fenton, MO
06.2003 - 11.2007
- Handled indemnity claims which included three-point contacts, investigating and identifying inconsistent information, monitoring of file, reviewing of third party actions, legal issues, and return to work throughout the life of the claim
- Negotiated settlements on claims up to designated authority level
- Prepared necessary state filings, managed claim recovery including subrogation and Second Injury Fund recoveries
- Reported claims to excess liability carrier and worked with them to conclude the file
- Issued indemnity benefits and monitored reserve adequacy.
Workers’ Compensation Examiner I
UniGroup, Inc./ Vanliner Insurance
Fenton, MO
06.2001 - 06.2003
- Medical only and indemnity claims handled including three-point contacts, investigated and identified inconsistent information, monitored files, reviewed third party actions, legal issues, and return to work throughout the life of the claim
- Negotiated settlements of claims
- Prepared necessary state filings
- Managed claim recovery including subrogation and Second Injury Fund recoveries
- Reported claims to the excess carrier and worked with them to conclusion the file
- Issued indemnity benefits and monitored reserve adequacy throughout the life of the claim.
Education
BSBA, Human Resource Management -
Colorado Technical University
01.2008
Skills
- SIR
- JURIS
- Risxfacs
- Outlook
- Microsoft Word/ Excel
- Problem solving
- Customer service
Certification
- Accounting and Finance
- Business Fundamentals
- Business in a Global Environment
- Human Resource Development
- Project Planning
Handled Locations
- Missouri
- New York
- Georgia
- Wisconsin
- Michigan
- Kansas
- Kentucky
- New Jersey
- South Dakota
- Nevada
- Connecticut
- Minnesota
- Oklahoma
Timeline
Workers’ Compensation Examiner III
Sedgwick CMS
07.2021 - 04.2023
Workers’ Compensation Senior Claims Representative
Gallagher Bassett Services
03.2018 - 05.2021
Cashier
Motomart Gas Station
01.2017 - 01.2018
Senior Workers’ Compensation Adjuster/ Account Manager
The Best IRS
07.2016 - 10.2016
Service Consultant
Lombardi Associates
04.2016 - 06.2016
Senior Workers’ Compensation Adjuster/ Account Manager
The Best IRS
01.2016 - 04.2016
Office Manager/ Senior Claims Adjuster
S&C Claims Services, Inc.
10.2011 - 08.2015
Workers’ Compensation Senior Claims Representative
Gallagher Bassett Services
05.2009 - 10.2011
Workers’ Compensation Examiner III
Sedgwick CMS- Ascension Health
11.2007 - 04.2009
Workers’ Compensation Examiner II
UniGroup, Inc./ Vanliner Insurance
06.2003 - 11.2007
Workers’ Compensation Examiner I
UniGroup, Inc./ Vanliner Insurance
06.2001 - 06.2003
BSBA, Human Resource Management -
Colorado Technical University