Stephanie Bolduc
Swansea,MA
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Return to Work Case Manager
TRAVELERS INSURANCE
09.2014 - Current
- Experience in handling workers compensation claims in the state of Massachusetts, Rhode Island and New Hampshire to include large market construction accounts with special account instructions
- Determining coverage and compensability
- Determining if disability and treatment is causally related to a work injury
- Works closely with Medical Case Managers and medical providers to achieve work releases and maximum medical improvement
- Handling of litigation files
- Negotiating settlement with injured workers and/or Attorneys.
Auto Claim Representative
TRAVELERS INSURANCE
06.2011 - Current
- Experience in handling personal and business insurance
- Determining coverage and assessing liability on complex losses
- Reviewing damage appraisals and issuing payments accordingly
- Negotiating incoming subrogation from adverse carriers
- Applying applicable surcharge when necessary
- Handling first party medical and med pay claims.
Concierge Claim Representative
TRAVELERS INSURANCE
09.2010 - 07.2011
- Face to face interaction with insured and/or claimants
- Selling a one stop shop service
- Investigating coverage on all claims
- Monitoring repairs directly with repair shops and appraisers
- Monitoring rental claims directly with Enterprise Rent A Car.
Total Loss Claim Representative
TRAVELERS INSURANCE
12.2008 - 06.2011
- Experience in handling total loss claims on personal lines policies in the state of Massachusetts
- Negotiating actual cash values on insured/claimant vehicles utilizing multiple source guides
- Negotiating towing and storage charges to mitigate policy exposure
- Selected to attend "Best of the Best Session" with Auto Product Team based on performance and desk management skills.
Claim Analyst
TRAVELERS INSURANCE
12.2006 - 12.2008
- Investigating coverage and liability on low severity losses
- Obtaining recorded statements from insured and/or claimants.
Support Representative
TRAVELERS INSURANCE
10.2005 - 12.2006
- Providing administrative support and assistance to the Front-Line Unit with distributing payments, requesting police report and preparing written correspondence to policyholders and claimants
- Organizing and preserving files
- Answering and directing telephone calls to the appropriate party
- Completing the salvage completion on all Total Loss claims.
Receptionist
SARAH S. BRAYTON NURSING CARE CENTER
06.2002 - 10.2005
- Answering and directing telephone calls to appropriate party
- Greeting visitors to the facility
- Maintaining a professional and friendly atmosphere at all times
- Upholding patient files
- Processing patient billing
- Managing accounts payable.
Education
Business Administration
Bristol Community College
Graduate -
B.M.C. Durfee High School
06.2004
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
- Decision-Making
- Relationship Building
- Documentation And Reporting
Certification
- Licensed in the states of NH, VT and RI to handle workers compensation claims.
Awards Recognition
In-Synch Service Award Honoree, 2008, Travelers of Massachusetts, This award honors select employees (nominated by their supervisors) who demonstrate high quality scores, timeliness, innovative problem-solving and a commitment to consistently meeting the needs of customers and agents.
Timeline
Return to Work Case Manager
TRAVELERS INSURANCE
09.2014 - Current
Auto Claim Representative
TRAVELERS INSURANCE
06.2011 - Current
Concierge Claim Representative
TRAVELERS INSURANCE
09.2010 - 07.2011
Total Loss Claim Representative
TRAVELERS INSURANCE
12.2008 - 06.2011
Claim Analyst
TRAVELERS INSURANCE
12.2006 - 12.2008
Support Representative
TRAVELERS INSURANCE
10.2005 - 12.2006
Receptionist
SARAH S. BRAYTON NURSING CARE CENTER
06.2002 - 10.2005
Business Administration
Bristol Community College
Graduate -
B.M.C. Durfee High School