Ryan Williams
Milwaukee,United States
Summary
Claims professional with 21 years of expertise in managing complex injury and disability claims. Demonstrates exceptional proficiency in navigating intricate federal regulations and applying automobile insurance policy terms. Proven track record in evaluating bodily injury claims and negotiating favorable settlements, supported by extensive experience in medical record review and understanding of treatment modalities. Aiming to leverage comprehensive claims management skills to enhance operational efficiency within a dynamic organization.
Overview
21
21
years of professional experience
Work History
Veterans Service Representative (Rating)
Department of Veterans Affairs
Milwaukee, United States
05.2011 - Current
- Analyze claims to determine whether medical disabilities prevent employment.
- Review medical records for disabilities
- Determine the need for examinations.
- Apply the VA rating schedule for rating disabilities, and prepare rating decisions.
- Determine the connection between the veteran’s death and military service.
- Direct veteran service representatives in the additional development of claims.
- Utilization of various VA systems to input data for processing and generating rating decisions.
- Utilization of VA manual references and federal law to make claims-related decisions.
- Additional duties include:
- Military Records Specialist and Joint Service Records Research Center Coordinator.
- Provide assistance and guidance to pension management center personnel regarding matters of military service.
- Utilization of VA manuals and federal laws in order to render decisions regarding military service.
Veteran Service Representative
Department of Veterans Affairs
Milwaukee, United States
12.2007 - 05.2011
- Determine eligibility for the benefits sought.
- Review claims to determine that all issues have been addressed.
- Apply and interpret applicable laws and regulations.
- Conduct phone interviews, and issue written correspondence to obtain evidence and explain benefits.
- Utilize various VA systems to input data for processing and generating correspondence.
Auto and Bodily Injury Clams Adjuster
State Farm Insurance
Bloomington, United States
01.2004 - 12.2007
- Negotiated property and bodily injury settlements with claimants and lawyers.
- Investigated auto accidents to make liability assessments.
- Identified and obtained evidence to ascertain claim value.
- Reviewed medical records to evaluate bodily injury claims.
- Reviewed medical billing for the appropriateness of charges.
- Ensured compliance with governmental regulations.
- Communicated with personnel and legal counsel on claims involving litigation.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
Education
Bachelor's degree - Law Enforcement and Justice Administration, Sociology
Western Illinois University
Macomb, IL, United States08.2002
Veterans Service Representative (Rating) - Rating Challenge
09.2011
State Farm Auto and Bodily Injury Claims Training -
06.2004
Skills
- Benefits administration
- Disability evaluation
- Claims processing
- Interviewing techniques
- Regulations
- Problem-solving
- Time management
Job Related Training
- Veterans Service Representative (Rating) - Rating Challenge, 8 weeks, 07/01/11, 09/01/11
- State Farm Auto and Bodily Injury Claims Training, 01/01/04, 06/01/04
References
References available upon request.
Timeline
Veterans Service Representative (Rating)
Department of Veterans Affairs
05.2011 - Current
Veteran Service Representative
Department of Veterans Affairs
12.2007 - 05.2011
Auto and Bodily Injury Clams Adjuster
State Farm Insurance
01.2004 - 12.2007
Bachelor's degree - Law Enforcement and Justice Administration, Sociology
Western Illinois University
Veterans Service Representative (Rating) - Rating Challenge
State Farm Auto and Bodily Injury Claims Training -
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