Thomas Wagar
Mesa,AZ
Summary
Progressive experience in Workers Compensation administration processes, leadership and process flow development. Highly organized and efficient in a fast-paced environment, communicating effectively at all organizational levels, with injured workers, adjusters and executive leadership. Demonstrated to build trusting relationships. Thinks critically, solve problems, plan and organize activities and deliver excellence.
Overview
15
15
years of professional experience
Work History
CLAIMS SUPERVISOR
SPROUTS FARMERS MARKET
10.2018 - Current
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Investigated, evaluated and adjusted litigated claims in accordance with standards and laws in 27 States.
- Optimized case management with establishment of best practices, analytics, creative problem-solving, and file strategy round tables.
- Oversee a talented team of 16 Claims Adjusters, 8 Supervisors, and 3 internal Analysts dedicated to timely and compliant resolutions.
- Conducts financial due diligence on potential investments, acquisitions, and weekly evaluations of our imprest funds account.
CLAIMS ADJUSTER
The Hartford Insurance Group
01.2016 - 10.2018
- Full-time Senior Claims Examiner responsible for providing explanation of benefits to clients and injured employees
- Researched and analyzed policy contracts to verify proper claims handling aligns with clients self-insured program.
- Aggressively pursue claim resolution negotiation
- Establish relationships by properly communicating with all parties associated to the policy.
- Actively involve the client in decisions made on files to show progress and efficiencies in mitigating cost.
- Examined claims forms and other records to determine insurance coverage.
CLAIMS ADJUSTER
Sedgwick CMS
01.2012 - 01.2016
- Full-time Claims Examiner responsible for administering compensation benefits to meet deadlines timely
- Possess analytical skills
- Demonstrates efficient time management
- Ability to adjust to various work environments including team oriented work or independent assignments
- Proficient use of word processing and data base programs.
MEDICAL ONLY - CLAIMS ADJUSTER/ EMPLOYEE ACTIVITY COMMITTEE LEADER
CorVel Corporation
01.2009 - 01.2012
- Full-time Medical Only Claims Adjuster responsible for supporting time-sensitive and state-regulated projects
- Organized and punctual, creating a consistent workflow
- Efficient at multitasking
- Achieved a WCCA in less than four months
- Leader of the EAC (Employee Activity Committee), planning and executing corporate events.
Education
Certificate in Dental Assisting/ Radiology Certificate -
Dental Academy of San Diego (ROP)
01.2007
Skills
- MS Office Suite
- Procedure Implementation
- Customer Expectations Management
- Expense Control
- Claims/ Data Analysis
- Team Motivation
- Risk Assessment
- Critical Thinking
- Client Relationship Management
- Risk Management
References
Available upon request
Timeline
CLAIMS SUPERVISOR
SPROUTS FARMERS MARKET
10.2018 - Current
CLAIMS ADJUSTER
The Hartford Insurance Group
01.2016 - 10.2018
CLAIMS ADJUSTER
Sedgwick CMS
01.2012 - 01.2016
MEDICAL ONLY - CLAIMS ADJUSTER/ EMPLOYEE ACTIVITY COMMITTEE LEADER
CorVel Corporation
01.2009 - 01.2012
Certificate in Dental Assisting/ Radiology Certificate -
Dental Academy of San Diego (ROP)
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