Steven Brown
Cuyahoga Falls,OH
Summary
I am a self-motivated professional. I entered the insurance industry in late 2015 with no experience or knowledge and have excelled in all roles assigned to me. I have obtained several credentials including my CPCU and state licensure through self teaching and dedication. In my current role I handle subrogation on behalf of my company's largest client and am responsible for 75% of our overall recoveries. I also handle all training during onboarding, troubleshoot and develop strategy on our more complex files, as well as work with senior leadership to address opportunities to update our SOP's to increase department efficiency.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Subrogation Specialist
Fleet Response
Hudson, OH
03.2022 - Current
- Reviewed and evaluated subrogation claims to determine potential recovery opportunities.
- Assisted in the development of strategies for successful resolution of subrogation cases.
- Researched legal databases to obtain relevant information regarding statutes of limitation and jurisdictional requirements.
- Collaborated with attorneys and insurance companies to develop effective solutions for complex subrogation matters.
- Conducted periodic audits of existing files to ensure compliance with established protocols.
- Developed relationships with external vendors in order to facilitate efficient handling of claims.
Workers' Compensation Claims Adjuster
Sedgwick Claims Management Services Inc.
Des Moines, IA
11.2021 - 03.2022
- Investigated workers' compensation claims to determine eligibility and extent of coverage.
- Reviewed medical records, interviewed employers and claimants, analyzed wage loss calculations, and reviewed evidence for accuracy.
- Processed benefit payments in accordance with applicable laws and regulations.
Subrogation Specialist
Sedgwick Claims Management Services Inc.
Des Moines, IA
04.2020 - 11.2021
- Reviewed and evaluated subrogation claims to determine potential recovery opportunities.
- Negotiated settlements with responsible parties to maximize subrogation recoveries.
- Assisted in the development of strategies for successful resolution of subrogation cases.
1st Party Liability Examiner
Sedgwick Claims Management Services Inc.
Seven Hills, OH
09.2019 - 04.2020
- Conducted interviews with claimants, employers, physicians and other healthcare providers to obtain additional information relevant to the claim.
- Investigated inconsistencies in documentation or reports obtained from third parties.
- Determined if claims were valid according to established rules and regulations.
- Recommended appropriate actions based on review findings including denial or approval of benefits payments.
Vendor Management Specialist
Sedgwick Claims Management Services, Inc.
Independence, Ohio
05.2017 - 09.2019
- Reconciled all vendor accounts bringing 3 year backlog current
- Updated and implemented new subrogation process increasing efficiency
- Audited vendors and escalated inconsistencies resulting in changes in business partnerships.
Claims Recovery Representative
Sedgwick Claims Management Services, Inc.
Independence, Ohio
03.2016 - 05.2017
- Assisted Director of Claims in creation of incentives program
- Interdepartmental auditing ensuring quality and consistency across the program
- Assisted Department Leadership with various ad hoc projects.
Claims Recovery Associate
Sedgwick Claims Management Services, Inc.
Independence, Ohio
12.2015 - 03.2016
- Reviewed and updated Towing and Impound billing procedures.
Education
Kent State University
01.2013
Lakeland Community College
01.2009
Skills
- Settlement determinations
- Effective communication abilities
- Investigative research
- Compliance Management
- Documentation Review
- Insurance knowledge
Certification
- CPCU; Chartered Property Casualty Underwriter
- Formerly licensed as an insurance adjuster in 26 states
Accomplishments
- Prior to my onboarding, an individual had only recovered $1M in a single month 3 times. I have done so 6 times in the last 12 months. I consistently exceed my KPI's by 50%.
Timeline
Subrogation Specialist
Fleet Response
03.2022 - Current
Workers' Compensation Claims Adjuster
Sedgwick Claims Management Services Inc.
11.2021 - 03.2022
Subrogation Specialist
Sedgwick Claims Management Services Inc.
04.2020 - 11.2021
1st Party Liability Examiner
Sedgwick Claims Management Services Inc.
09.2019 - 04.2020
Vendor Management Specialist
Sedgwick Claims Management Services, Inc.
05.2017 - 09.2019
Claims Recovery Representative
Sedgwick Claims Management Services, Inc.
03.2016 - 05.2017
Claims Recovery Associate
Sedgwick Claims Management Services, Inc.
12.2015 - 03.2016
Kent State University
Lakeland Community College
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