Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Patricia Chamberlain

Denver,CO

Summary

Dynamic Risk and Claims Manager with over 20 years of experience, excelling in claims management and regulatory compliance. Proven track record in developing risk mitigation strategies and enhancing operational efficiency. Skilled in investigations and fraud detection, fostering collaboration among stakeholders to achieve timely, cost-effective resolutions.

Overview

21
21
years of professional experience

Work History

Risk and Claims Manager

Vector Services/Vector Force Development
05.2024 - Current

Lead multi-state claims management processes across in all states of work activity. Direct and manage end-to-end claims handling for multi-line insurance programs, including property, general liability, auto, workers’ compensation, and professional liability.

● Developed and implemented risk mitigation strategies/coordinate with insurance carriers and defense counsel to resolve claims.

● Oversaw investigation, evaluation, negotiation, and settlement of high-value and complex claims in multiple jurisdictions.

● Oversee risk and claims financials, making recommendations to reduce costs and future liability.

● Investigate and manage end-to-end workers’ injuries, auto, GL and property claims., reducing costs and OSHA recordables through expert medical case management in the beginning.

Senior Resolution Specialist

Arthur J. Gallagher Bassett & Co
12.2021 - 05.2023

Directed high-volume caseload of litigated and non-litigated claims, achieving timely resolution in compliance with all regulatory deadlines. Oversaw medical case management to facilitate early, safe return-to-work outcomes, driving cost containment and reducing lost time.

● Conducted thorough compensability assessments and identified subrogation opportunities, referring suspected fraud to the Special Investigations Unit (SIU).

● Completed and submitted required state filings across multiple jurisdictions, maintaining full compliance with evolving regulations.

Case Manager

Employer Unity LLC/Equifax Workforce Solutions
10.2013 - 06.2020

Partnered with employers, claimants, attorneys, and healthcare providers to drive timely, cost-effective claim outcomes. Led the migration to ClaimPilot claims management software, streamlining workflows and boosting operational efficiency.

● Managed high volume workers’ compensation and general liability claims, in multiple jurisdictions and industries to include DOT/FMCSA transportation regulated companies, high profile healthcare networks, colleges and universities, school districts, fire and library districts, and nursing care, from initial intake through final resolution.

● Developed and implemented updated EHS and workers’ compensation policies and procedures to strengthen compliance and risk mitigation.

Environment, Health and Safety/JCAHO Manager

Catholic Health Initiatives, Inc
04.2005 - 06.2007

● Directed environmental health and safety programs in compliance with hospital and Joint Commission standards.

● Developed and delivered employee training on EHS compliance and risk management procedures.

Education

Certificate - Business Administration

Front Range Community College
Denver, CO
04-2009

Skills

    ♦ Claims Management

    ♦ 20 Years Supervisory Experience

    ♦ Insurance Program Administration

    ♦ Policy & Procedure Development

    ♦ Investigations & Fraud Detection

    ♦ Risk Management

    ♦ Regulatory Compliance

    ♦ ADA & LOA Programs

    ♦ Training & Development

    ♦ Environmental Health & Safety

    ♦ Hospital & Joint Commission Compliance

    ♦ Transportation/DOT/CDL & FMCSA Compliance

    ♦ SSA/Medicare Offset Management

    ♦ Monopolistic States’ Compliance

Timeline

Risk and Claims Manager

Vector Services/Vector Force Development
05.2024 - Current

Senior Resolution Specialist

Arthur J. Gallagher Bassett & Co
12.2021 - 05.2023

Case Manager

Employer Unity LLC/Equifax Workforce Solutions
10.2013 - 06.2020

Environment, Health and Safety/JCAHO Manager

Catholic Health Initiatives, Inc
04.2005 - 06.2007

Certificate - Business Administration

Front Range Community College
Patricia Chamberlain
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