Lead Senior Resolution Manager offering over 18 years of related experience. Significant expertise in claims handling with an ability to independently manage complex issues and provide guidance to those who need it. Exceptional decision-making and critical thinking skills.
Overview
22
22
years of professional experience
Work History
Lead Sr. Resolution Manager
Gallagher Bassett Services, Inc.
10.2023 - Current
In addition to my ongoing role as a Sr. Resolution Manager, I provide Supervisor level assistance in an effort to not only alleviate the responsibilities of the actual Supervisor, but to enhance the functioning of the Team as a whole.
Serve as a back-up to the Supervisor, including accurate and thorough completion of the Time Sensitive Log when requested, frequent updates to the Time Sensitive Log, reporting as to the day-to-day required Certifications, etc.
Serve as a mentor to multiple new-hires, ensuring thorough training and understanding of the myriad methods and complexities involved in becoming a top-level Resolution Manager.
Schedule and oversee mock file reviews for other Resolution Managers in preparation for the real thing, so as to ensure optimal preparedness and client satisfaction
Claim set-ups, including new files, Medical Only Transfers, reopens, etc.
Sr. Resolution Manager
Gallagher Bassett Services, Inc.
12.2014 - 10.2023
Day-to-Day file management for multiple clients, including a dedicated high-value account wherein the client requested that I be the only Resolution Manager allowed to work their files.
In-depth integration into my files, to the point where I am an active participant in all aspects of handling. This includes a thorough understanding and handling of the legal, medical, and investigative components of claims handling.
Accurate monitoring and issuance of benefit payments, having never made an error that led to a Penalty being owed.
Thorough and detailed Plans of Action and Carrier Reporting, all completed within the appropriate timeframes.
Participated in multiple claims reviews, both my own and in the capacity of assisting other Resolution Managers, of which I receive constant positive feedback.
Maintain the appropriate opening/closing ratio as required
Assistant Claims Examiner
Athens Administrators
06.2010 - 12.2014
Utilizing strong organizational skills, assisted Claims Adjusters with several aspects of claim handling, including the completion of benefit notices, monitoring of medical statues, and timely and accurate benefit payments. Simultaneously, served as a Medical Only examiner, ensuring the proper management and direction of medical treatment.
Claims Assistant
Gallagher Bassett Services, Inc
01.2005 - 06.2010
Assisted multiple Resolution Managers by monitoring medical statuses, issuing benefit payments and completing tasks covering a wide range of responsibilities in an accurate and timely manner. These responsibilities included the completion of a variety of documents as well as constant communication with clients, claimants, doctors and attorneys.
Attractions/Special Events Lead
Disneyland Resort
05.2002 - 01.2005
While working in a Supervisory capacity, ensured budgets, schedules and various documentations were completed in a timely manner. Resolved various crew and customer situations while still meeting office deadlines. Responsible for daily training of new crews.
Education
Bachelor of Arts - Communications
Cal State Fullerton
Fulleron, CA
Skills
SIP, MS Word, MS Excel, MS Outlook, AMA Guides 5th for Claims Professionals
Organized and efficient, with strong time management and prioritization skills
Strong ability to effectively communicate, both verbal and written
Extensive knowledge as to the Worker’s Compensation system, as accumulated over 18 years in the industry