Baking desserts
Reading mystery or historical fiction novels
Drawing
Dynamic Workers' Compensation Claims Examiner with a proven track record at Sedgwick Claim Management Services. Expert in negotiating settlements and managing complex claims, demonstrating strong analytical skills and effective communication. Recognized for achieving timely resolutions while maintaining organized documentation and fostering collaborative relationships within teams. Experienced in customer service and handling challenging individuals.
Analyze and processe complex California workers' compensation claims by investigating to determine compensability and exposure.
Manage claims through well developed action plans to an appropriate and timely resolution.
Negotiate settlement of claims within designated authority.
Manage reserves, calculate and set up temporary and permanent disability in a timely fashion.
Manage the litigation process to ensure timely and cost effective resolution.
Coordinate with vendor referrals for medical treatment, litigation and investigation.
Manage claim recoveries.
Communicate claim activity and processing with the claimant and client in a professional manner.
Ensure claim files are properly documented with the proper coding.
Excellent oral and written communication including presentation skills
Experience with Microsoft Office products
Analytic and interpretive skills
Good interpersonal and negotiation skills
Ability to work in a team environment
Problem solving
Able to handle multiple priorities and meet deadlines
Strong organization skills
Baking desserts
Reading mystery or historical fiction novels
Drawing