MICHELLE ETHRIDGE
Burleson
Summary
Knowledgeable indemnity supervisor and compliance manager with robust background in compliance operations. Efficiently led compliance initiatives to enhance regulatory adherence and mitigate risks. Demonstrated expertise in policy development and team leadership.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Senior Claims Examiner/Compliance/ Indemnity Supervisor
CorVel Corporation
11.2021 - Current
- Maintained high level accounts
- Oversaw claims from investigation to closure
- Settled claims in applicable states
- Used all tools provided to ensure mitigation of full exposure
- Track all new indemnity claims for the office to ensure timely payment/compensability decisions are made as well as timely State form filings/EDI submissions
- Review all indemnity first pays
- I am currently supervising a team of 5 workers’ compensation indemnity adjusters
- Ensure my team, as well as myself, consistently meet & exceed the matrix requirements
Broadspire
03.2015 - 02.2016
- Company Overview: Crawford and Co
- Analyze information gathered during investigation and reported findings and recommendations
- Managed all medical and indemnity benefits
- Communicate with injured employees, doctors’ offices, nurse case managers, employers, and carriers
- Calculate accurate reserving based on the anticipated life expectancy of the injured worker
- Utilize all available tools to secure the best probable outcome, Ex: timely return to work, discharge from care, maximum medical improvement, and impairment
- Jurisdictions that were managed: TX, AR, OK and LA
- Developed solid relationships with staff, clients, and vendors
- Crawford and Co
Senior Workers' Compensation Claims Adjuster
Sedgewick
03.2015 - 02.2016
- Utilized all available tools to make a clear/decisive compensability decision
- Drafted detailed reports outlining findings of investigations for use in settlement and litigation
- Managed claims from inception to full resolution on a dedicated team
Defense Base Act Claim Examiner
Zurich
05.2012 - 01.2015
- Collaborated with international nurse case managers as well as physicians in other countries
- Coordinated repatriation from country of injury to home of record in the US
- Managed all claims from inception to resolution, primarily settlement
Workers' Compensation Claims Adjuster
Argonaut
08.2000 - 05.2012
- Was one of three claims’ professionals chosen to operate the triage unit on all incoming claims
- Elevated investigations to determine compensability
- I interacted extensively with various parties involved in claim process
Education
Diploma -
Irving Highschool
Irving, Texas05.1988
Skills
- Strong customer relations
- Leadership
- Attention to detail
- Decision making
- Written and verbal communication
- Time management and task prioritization
- Microsoft Word
- Excel
- Financial acumen
- Training and mentoring
- Staff discipline
Certification
- Texas
- Arkansas
- Oklahoma
- Louisiana
Timeline
Senior Claims Examiner/Compliance/ Indemnity Supervisor
CorVel Corporation
11.2021 - Current
Broadspire
03.2015 - 02.2016
Senior Workers' Compensation Claims Adjuster
Sedgewick
03.2015 - 02.2016
Defense Base Act Claim Examiner
Zurich
05.2012 - 01.2015
Workers' Compensation Claims Adjuster
Argonaut
08.2000 - 05.2012
Diploma -
Irving Highschool
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