Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shardae Ellison

Algonquin,IL

Summary

Experienced and driven medical claims technician with a dynamic approach to delivering exceptional customer service. Skilled in efficient investigation and resolution of claims, ensuring adherence to company policies and regulatory guidelines. Demonstrates expertise in best claim practices and maintains a strong commitment to industry and company ethics.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Sr. Workers’ Compensation Technician • Claims Adjuster

Liberty Mutual
01.2021 - Current
  • Conduct investigations including, but not limited to assessing policy coverage, contacting insureds, injured workers, doctor’s offices and other parties to determine compensability and establish reserves
  • Set-up claims and update loss to reflect actual circumstances
  • Determine the need for independent adjusters or independent medical examiners
  • Evaluate claim for potential fraud
  • Evaluate claim for third party recovery
  • Manage medical by scheduling and following up on medical treatment and status
  • Communicate with the injured workers, customers and vendors
  • Be involved with litigated claims as necessary
  • Manage payments related to benefits and medical bills

Legal Operations • Insurance Assistant

Liberty Mutual
04.2019 - 01.2022
  • Administer litigated claims to assigned attorney
  • Responsible for completing conflict check reports for new litigated claims
  • Review summons and complaint to ensure correct documents received for litigation
  • Manage attorney calendars
  • Schedule depositions
  • Assist with other office duties as needed

Account Coordinator • Coordinator

Nationwide Appraisals
06.2015 - 04.2018
  • Answer calls and emails from clients and vendors
  • Responsible for setting up new claims
  • Document claims when new information is received
  • Dispatch claims to appraisers
  • Review estimates from body shops
  • Open supplements upon client’s request
  • Follow up with adjusters, vehicle repair facilities and vehicle owners regarding status of appraisal

Education

Diploma -

Elgin High School
05.2004

Skills

  • Problem-Solving Capability
  • Proficient Written Communication
  • Prioritization and Time Management
  • Effective Communication Skills
  • Accurate Data Entry
  • Precision in Work Quality
  • Strong Organizational Abilities
  • Versatile Skillset
  • Supportive Team Participant

Certification

Licensed Claims Adjuster

Timeline

Sr. Workers’ Compensation Technician • Claims Adjuster

Liberty Mutual
01.2021 - Current

Legal Operations • Insurance Assistant

Liberty Mutual
04.2019 - 01.2022

Account Coordinator • Coordinator

Nationwide Appraisals
06.2015 - 04.2018

Diploma -

Elgin High School

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Shardae Ellison