Proven expertise in Workers Compensation and File Management, demonstrated through impactful mentorship and caseload management at Travelers Insurance. Excelled in teamwork and customer service, efficiently handling over 160 files and driving settlements. Achieved significant resolutions, showcasing exceptional organizing skills and a commitment to excellence.
currently managing a caseload of 165 litigated and non-litigated files for IL and WI
Evaluate and adjust claims in accordance with established claim standards and laws.
Establish reserves, provide benefits and negotiate files to settlement and resolution.
Participate in quarterly claim reviews with National Accounts.
Mentor new hires on company policies and procedures, providing guidance and support
Managed a caseload of 160 self insured litigated and non-litigated files.
Investigated and evaluated claims in accordance with established claim handling standards and laws.
Handled each claim from onset of investigation through settlement and resolution of file
Provide notice of qualifying claims to excess carriers.
Effective and timely communications with clients and claimants throughout the adjustment process
Onsite claim reviews with clients quarterly
Handling a caseload of 170 litigated and non litigated files for national and self insured accounts
Investigated claims to establish compensability, provided benefits and negotiated settlements to move cases to resolution
Participated in quarterly reviews with insureds.