Summary
Overview
Work History
Education
Skills
Licensing
Timeline
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Rebecca Avanzato

Newark,DE

Summary

Knowledgeable Examiner with 18 years of experience in claims management. Detailed and focused with proven with attention to details and organizational skills.

Overview

16
16
years of professional experience

Work History

Senior Workers’ Compensation Examiner

Sedgwick
05.2021 - 05.2023
  • Responsible for reviewing and determining compensability of all workers’ compensation lost time claims and medical only claims for multiple jurisdictions including: New Jersey, Pennsylvania, Illinois, South Dakota, Louisiana, Texas, Tennessee, Missouri and Delaware
  • Participated in ongoing professional development opportunities to stay current on industry changes and maintain expertise in field.
  • Developed strong relationships with internal and external stakeholders, fostering open communication and collaboration.
  • Managed high volume caseloads, prioritizing tasks to meet strict deadlines while maintaining attention to detail.
  • Managed approximately 100 - 120 emails, faxes and incoming calls per from customers, attorneys, and employers
  • Interviewed witnesses and hospital records for investigation purposes.
  • Responded to approximate emails and telephone requests for information from attorneys and other involved parties.

Senior Workers’ Compensation Examiner

Gallagher Bassett
11.2017 - 05.2020
  • Participated in ongoing professional development opportunities to stay current on industry changes and maintain expertise in field.
  • Contributed positively to organizational reputation by consistently demonstrating professionalism, integrity, and expertise in role of Examiner.
  • Managed high volume caseloads, prioritizing tasks to meet strict deadlines while maintaining attention to detail.
  • Continued to handle New Jersey, Delaware and Pennsylvania

Workers’ Compensation Adjuster II

Broadspire, a Crawford and Company
05.2007 - 06.2017
  • Responsible for reviewing and determining compensability of all workers’ compensation lost time claims and medical only claims for multiple jurisdictions including, New Jersey, Pennsylvania and Delaware
  • Conduct thorough investigation of all assigned claims to determine compensability
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Calculate and assign timely and appropriate reserves to claims; manage reserve adequacy throughout life of claims. Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle clams within designated authority level
  • Examined claims forms and other records to determine insurance coverage.

Education

GED -

James H Grove
Wilmington, DE
07.2000

Skills

  • Empathy and Sensitivity
  • Claims Handling
  • Building client relationships
  • Claims reports and documentation
  • Ethical judgment
  • Accuracy and Precision
  • Legal Compliance
  • State filing compliance
  • Meeting Preparation

Licensing

  • Active Delaware Workers Compensation license: Delaware, Texas, Illinois Missouri, South Dakota, Louisiana.
  • Previously licensed: South Carolina and New Hampshire

Timeline

Senior Workers’ Compensation Examiner

Sedgwick
05.2021 - 05.2023

Senior Workers’ Compensation Examiner

Gallagher Bassett
11.2017 - 05.2020

Workers’ Compensation Adjuster II

Broadspire, a Crawford and Company
05.2007 - 06.2017

GED -

James H Grove

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Rebecca Avanzato