Shelly Daly
Overland Park
Overview
12
12
years of professional experience
Work History
Claims Specialist
Sedgwick
10.2024 - Current
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Claims Supervisor
Corvel Insurance Services
07.2022 - 10.2025
- Work with team of five Medical Only and Lost Time Claims Adjusters
- Review claim files and note what needs to be worked on in the each claim
- Work with Account Managers to ensure claims are progressing
- Train any new Adjusters and provide any follow training to current Adjusters
Indemnity Claims
Corvel Insurance Services
05.2021 - 07.2022
- Indemnity Desk
- Works lost time claims for clients in MO, KS, NE and IA
- Monitors medical referrals, surgery, physical therapy
- Calculates wages
- Work with attorneys to best navigate legal requests or actions on claims
Maintenance Claims
Corvel Insurance Services
04.2020 - 05.2021
- Maintenance desk for NE and Iowa Claims
- Monitored and maintained long term claims for two clients
- Stay in contact with claimants to make sure long term care continues and on track
- Approved medications and doctor referrals
- Calculate wages
- Maintained weekly benefits owed to the claimant or legal group
Medical Only Claims
Corvel Insurance Services
04.2019 - 04.2020
- Medical Only claims
- Worked with various clients
- Kept in close contact with clients and monitored claims
- Alerted clients if claimant and claim needed to be reassigned to indemnity
Administrative Claims Clerk
Cowell Insurance Services
06.2018 - 04.2019
- Examine and process workers comp claims for multiple vendors
- Assign complex claims to insurance adjusters
- Respond to inbound calls and assist clients with issues deriving from claims and/or directing to appropriate analyst
- Coordinate all mail and check disbursements internally and to clients and vendors
Computer Teacher
Blue Valley Unified School District
08.2016 - 06.2018
- Instruct students in fundamental computer skills, including keyboarding, Microsoft Office, email, and internet safety
- Introduce basic coding using Google Suites
- Develop lesson plans to facilitate learning of core concepts of computer usage
- Counsel students to resolve learning and discipline problems
- Participate in training sessions that reinforce leadership, communication development and team building
Substitute Teacher
Gardner-Edgerton Unified School District
10.2013 - 08.2015
- Utilized appropriate teaching strategies, methods of presentation, and techniques to motivate students to meet lesson plan requirements
- Monitored student work and progress and provided feedback to students and classroom teachers
- Maintained an accurate record of the events of the day and provided a written record for the classroom teacher
Education
Bachelor of Arts - Elementary Education
Biola University
La Mirada, CAMaster In Education -
University of St Mary
Leavenworth, KSSkills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
Timeline
Claims Specialist
Sedgwick
10.2024 - Current
Claims Supervisor
Corvel Insurance Services
07.2022 - 10.2025
Indemnity Claims
Corvel Insurance Services
05.2021 - 07.2022
Maintenance Claims
Corvel Insurance Services
04.2020 - 05.2021
Medical Only Claims
Corvel Insurance Services
04.2019 - 04.2020
Administrative Claims Clerk
Cowell Insurance Services
06.2018 - 04.2019
Computer Teacher
Blue Valley Unified School District
08.2016 - 06.2018
Substitute Teacher
Gardner-Edgerton Unified School District
10.2013 - 08.2015
Bachelor of Arts - Elementary Education
Biola University
Master In Education -
University of St Mary
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