Susan Anderson
West Linn
Summary
Claims professional with extensive experience specializing in Workers' Compensation Claims Administration. Demonstrated success in building customer relationships and effectively resolving claims. Skilled in multi-tasking, problem-solving and consistently achieving optimal outcomes in high-pressure environments. Very familiar with:
- Self-Insured Programs
- Insured Programs
- Captive Programs
- Unit Stat Reviews
- Self-Insured state audits
- State Compliance audits
Overview
27
27
years of professional experience
Work History
Claims Examiner III
SAIF Corporation
10.2023 - 01.2026
- Managed workers’ compensation claims from inception to closure, ensuring compliance with regulations and timely settlements.
- Collaborated with SAIF internal partners, including attorneys, return-to-work consultants, nurse case managers, and underwriting to streamline claims processes and enhance communication.
- Balance outcomes to address insured / employer concerns as well as satisfy SAIF internal operating procedures.
Business Owner, Oregon Notary Public and Loan Signing Agent
Anderson Signing.com
01.2020 - 01.2026
- Coordinated execution of documents for residence purchases, mortgage refinances, home sales, and reverse mortgages on behalf of Title and Escrow companies, ensuring compliance and timely processing.
- Reviewed documents for consistency in dollar amounts, verified correct riders accompanied relevant forms, confirmed buyer and seller identities, and notarized all documents.
- Scheduled and facilitated signings with multiple parties to ensure adherence to sale and funding timelines.
Senior Workers’ Compensation Claims Examiner
Intermountain Claims
05.2022 - 10.2023
- Managed workers’ compensation claims for two insurance carriers, ensuring thorough investigation and resolution.
- Handle workers' compensation claims from initial investigation through traditional claim closure or settlement.
- Facilitated communication with injured workers and stakeholders, including human resource representatives, insurance brokers, and corporate counsel, to strategize and resolve claims effectively.
- Participated in claim reviews and weekly status calls with clients.
- Work in carrier specific claim systems as well as Intermountain Claims document management system.
- Both carrier programs include regional and national clients: Hospitality, manufacturing, residential senior living, high-tech manufacturing, construction, transportation.
Senior Workers’ Compensation Claims Examiner
Sedgwick
11.2021 - 05.2022
- Handled complex workers’ compensation claims for Amazon, ensuring compliance and effective resolution.
- Oversaw $100,000 reserve authority for timely claims processing and accurate financial reporting.
- Executed $25,000 settlement authority for efficient claim resolutions, fostering positive client relationships.
- Managed high deductible client accounts with restricted carrier reporting requirements.
- Handling expectations specific to individual sites.
Senior Workers’ Compensation Claims Adjuster
Broadspire
08.2021 - 11.2021
- Analyze complex or technically difficult workers' compensation claims to determine benefits due; work with high exposure claims involving litigation and vocational rehabilitation; ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; identify subrogation of claims and negotiate settlements.
- Managed claims processing to optimize cost efficiency and enhance client satisfaction.
- Adhere to client and Broadspire Best Practices.
- Executed precise and timely claims adjudication to meet service expectations.
- Conducted audits of data accuracy, ensuring compliance with quality standards.
Long Term Disab / FMLA Claims Adjuster
Matrix Absence Management
07.2021 - 08.2021
- Completed training for the position with Broadspire.
Workers’ Compensation Claims Supervisor
Gallagher Bassett Services, Inc.
03.2017 - 10.2019
- Maintained diaries on open indemnity claims to facilitate effective management and timely resolution.
- Used internal metric-driven tools to evaluate employee performance and identify problem areas to pre-emptively identify service issues.
- Responded to Oregon and Washington state auditors regarding self-insured reserve audits.
- Responded to Oregon and Washington state auditors regarding self-insured reserve audits.
- Used internal metric-driven tools to evaluate employee performance and identify problem areas to pre-emptively identify service issues.
National Claims Manager for Dedicated Client
Gallagher Basset Services, Inc.
01.2016 - 02.2017
- Collaborated with Gallagher Bassett Account Manager to ensure adherence to client and company best practices across multi-state claims offices.
- Tailored communication of information to meet the client's demanding requirements.
- Developed and implemented action plans for underperforming branches and/or individual claims adjusters.
- Coached new claims adjusters to manage claims according to client service instructions.
- Vetted reserve requests prior to presenting to client for approval.
- Facilitated communication between client and claims teams to clarify performance expectations.
National Claim Director
York Risk Services Group
01.2015 - 12.2015
National Account Manager
CorVel
06.2013 - 12.2014
Director, Vendor Quality Assurance Group
AIG
04.2008 - 02.2013
Branch Manager
Gallagher Bassett Services
03.1999 - 03.2008
Skills
- Claims investigation
- Settlement negotiation
- Customer relationship management
- Problem-solving
- Conflict resolution
- Multi-tasking ability
- Effective communication skills
Timeline
Claims Examiner III
SAIF Corporation
10.2023 - 01.2026
Senior Workers’ Compensation Claims Examiner
Intermountain Claims
05.2022 - 10.2023
Senior Workers’ Compensation Claims Examiner
Sedgwick
11.2021 - 05.2022
Senior Workers’ Compensation Claims Adjuster
Broadspire
08.2021 - 11.2021
Long Term Disab / FMLA Claims Adjuster
Matrix Absence Management
07.2021 - 08.2021
Business Owner, Oregon Notary Public and Loan Signing Agent
Anderson Signing.com
01.2020 - 01.2026
Workers’ Compensation Claims Supervisor
Gallagher Bassett Services, Inc.
03.2017 - 10.2019
National Claims Manager for Dedicated Client
Gallagher Basset Services, Inc.
01.2016 - 02.2017
National Claim Director
York Risk Services Group
01.2015 - 12.2015
National Account Manager
CorVel
06.2013 - 12.2014
Director, Vendor Quality Assurance Group
AIG
04.2008 - 02.2013
Branch Manager
Gallagher Bassett Services
03.1999 - 03.2008