Nora Robinson
Honolulu,HI
Summary
Experienced Workers' Compensation Examiner, professionally handles minor to complex claims. Able to multitask while managing a complex and diverse caseloads. Ensure each claim is resolved and to assist with moving the claim forward to closure or settlement.
Overview
23
23
years of professional experience
Work History
Claims Examiner
Sedgwick
Honolulu, HI
12.2021 - Current
- Maintained moving claims forward and able to meet closing ratio deadlines.
- Adjusted complex claims including controverted claims and those with psychiatric injuries.
- Successful with negotiated settlements including wash / waivers and Medicare set aside (MSA).
- Able to analyze questionable claims, interviewing claimants and witnesses to determine any fraudulent claims and compensability.
- Consulted with lawyers and physicians when needed.
- Paid and processed claims within designated authority level.
- Managed workloads efficiently by prioritizing tasks based on urgency or importance.
- Communicated with personnel and legal counsel on claims involving litigation.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Recognized by management for providing the highest closing ratio.
Claims Adjuster
Farmers Insurance Company
Honolulu, HI
01.2001 - 12.2021
- Evaluated extent of damage and documented findings.
- Attended continuing education seminars to stay abreast of changes in the field.
- Investigated and analyzed auto insurance claims to determine validity, accuracy, and coverage.
- Determined salvage value for total-loss vehicles.
- Assisted attorneys in claimant defense if claim is contested.
- Negotiated settlements with claimants when appropriate.
- Determined liability based on facts gathered from investigations.
- Interviewed claimants, witnesses, police officers, medical professionals and other parties involved in the claim.
- Reviewed previous claims for possible fraud or misrepresentation of facts.
- Managed heavy workload and ongoing cases.
- Completed day-to-day duties accurately and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Education
Bachelor of Arts - Graphic Design
University of Hawaii At Manoa
Honolulu, HI05-2004
Skills
- Microsoft Office, including Excel
- Critical Thinking
- Settlement Negotiations
- Workers' Compensation Claims
- Claims Investigation
Accomplishments
- Achieved 2 Accomplishments of having the highest closing ratio within the month and quarterly.
Timeline
Claims Examiner
Sedgwick
12.2021 - Current
Claims Adjuster
Farmers Insurance Company
01.2001 - 12.2021
Bachelor of Arts - Graphic Design
University of Hawaii At Manoa
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