Summary
Overview
Work History
Education
Skills
Timeline
Generic

Soraya Ladouceur

Stratford,CT

Summary

Dedicated Lost Time Senior Claim Examiner with expertise in managing complex workers’ compensation claims involving extended recovery periods. Skilled in conducting thorough investigations, assessing medical and employment records, and ensuring fair claim outcomes in compliance with regulatory standards. Known for strong analytical abilities and a compassionate approach, balancing claimant support with effective cost management. Proficient in building collaborative relationships with claimants, employers, and medical providers to facilitate return-to-work strategies and timely resolutions. Committed to maintaining high-quality service in fast-paced, detail-oriented environments.

Overview

13
13
years of professional experience

Work History

Senior Claim Examiner

Chubb
11.2023 - Current
  • Review and investigate complex lost-time claims, including medical documentation, incident reports, and other relevant records
  • Determine compensability by analyzing evidence and applying state laws
  • Authorize and calculate appropriate benefits for lost time, including wage replacement and medical benefits, in compliance with regulations
  • Evaluate cases for settlement and work with legal team to negotiate as necessary to reach a fair resolution
  • Prepare and submit required reports, such as reserving recommendations, settlement proposals, and status updates
  • Act as the primary contact for claimants, employers, and attorneys, providing regular updates and managing expectations
  • Review insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials

Flagship Branch Manager

Enterprise Rent A Car
02.2020 - 09.2023
  • Established a performance-based sales culture to significantly increase branch revenue and profits
  • Mentored and developed numerous employees facilitating the accomplishment of career goals both short term and long term
  • Evaluated financial documents on a weekly basis providing insights to inform strategic planning to accelerate branch profitability and to decrease costs and expenses
  • Cultivated strong business relationships with numerous body shops, corporate accounts, agents, various clientele through marketing efforts and networking
  • Improved customer satisfaction ratings by enhancing service quality and resolving client issues promptly
  • Evaluated employee performance regularly and provided feedback to facilitate continuous development of skills and knowledge base within the team
  • Met deadlines by proactively managing individual and team tasks

Assistant Manager/Management Trainee

Enterprise Rent A Car
11.2015 - 02.2020
  • Strategized and maintained a branch Operational Plan to ensure the highest levels of operational excellence
  • Gained valuable experience monitoring front counter and facilitating customer flow to provide exceptional customer service
  • Mobilized, energized, and engaged employees to reach sales goals successfully
  • Tasked with training employees on sales plans and providing employee follow-up and feedback on results each month

Starbucks Team Lead

Follett Higher Education Group
01.2012 - 11.2015
  • Played an integral role in aiding onboard training for new employees, providing constant coaching with a focus on establishing positive behaviors
  • Assumed a Customer First approach to ensure the upmost level of customer service and an enhanced customer experience
  • Engaged with customers, identifying customer cues and store needs, and ensuring all needs were processed in a timely manner
  • Thrived in fast paced and high-pressure environments maintaining a positive attitude under all circumstances

Education

Bachelor of Arts (B.A.) - Sociology

Fairfield University
Fairfield, CT
01.2014

Skills

  • Claims Investigation
  • Policy Interpretation
  • Customer Service
  • Problem-Solving
  • Time Management
  • Excellent Communication
  • Coaching and Mentoring
  • Settlement Negotiations
  • Management
  • Leadership
  • Employee Development
  • Flexibility
  • Teamwork
  • Conflict Resolution
  • Empathy
  • Regulatory Compliance

Timeline

Senior Claim Examiner

Chubb
11.2023 - Current

Flagship Branch Manager

Enterprise Rent A Car
02.2020 - 09.2023

Assistant Manager/Management Trainee

Enterprise Rent A Car
11.2015 - 02.2020

Starbucks Team Lead

Follett Higher Education Group
01.2012 - 11.2015

Bachelor of Arts (B.A.) - Sociology

Fairfield University

Similar Profiles

CREATE PROFILE
Soraya Ladouceur