Val Palmer
Lee’s Summit,MO
Summary
Seasoned Medical Claims Supervisor with a robust background at Progressive Insurance, showcasing expertise in policy interpretation and a knack for team leadership. Excelled in driving claims handling compliance and spearheading DE&I initiatives, underpinned by strong decision-making and organizational skills. Achieved significant improvements in claims processing efficiency and staff development.
Overview
12
12
years of professional experience
Work History
Medical Claims Supervisor
Progressive Insurance
Kansas City, KS
11.2021 - Current
- Promoted to lead a team of medical claims representatives located across the West Zone
- Managed claims handling in North Dakota, Utah, and Kansas, and ensured compliance with state and federal law
- Audited and reviewed claims handling, while providing coaching and feedback on rep performance
- Oversaw several claims handling restructuring initiatives and DE&I projects
Claims Support Supervisor
Progressive Insurance
St. Petersburg, FL
06.2021 - 11.2021
- Managed a team of claims support specialists working side-by-side with the PIP Litigation group
- Organized and managed a project spanning several months wherein my team assisted litigation representatives in settling bulk lawsuits
Litigation Representative Sr.
Progressive Insurance
St. Petersburg, FL
05.2019 - 06.2021
- Analyzed incoming PIP suits and reviewed pending action against the company for settlement, or made referrals to defense counsel providing recommendations for litigation strategy
- Accurately and consistently applied Florida statute 627.736, case law, and policy language to complex factual scenarios to ensure claims were handled in compliance with state law
- Negotiated complex settlements, both on an individual and bulk scale, with opposing counsel to reach the best possible result for the company
- Sat for depositions on behalf of Progressive Insurance as a Corporate Representative
Medical Claims Intermediate
Progressive Insurance
Jacksonville, FL
06.2018 - 04.2019
- Accurately applies Florida statutes, case law, and policy language to determine appropriate coverage for individuals claiming PIP benefits
- Assisted in handling Pre-suit Demands and Litigation confessions during high volume
- Assists in mentoring less tenured reps in proper PIP claims handling and coverage investigations
Medical Claims Representative
Progressive Insurance
Jacksonville, FL
01.2018 - 06.2018
- Florida certified claims adjuster handling auto Personal Injury Protection (PIP) claims for the northeast Florida region
- Managed medical claims under PIP benefits, and basic coverage investigations
Claims Adjuster Generalist
Progressive Insurance
Jacksonville, FL
06.2017 - 12.2017
- Florida certified claims adjuster handling auto property claims for the northeast Florida region
- Independently investigates complex liability situations involving automobile accidents and negotiates on behalf of clients
Senior Law Student
SIU School of Law
Carbondale, IL
08.2016 - 05.2017
- Conducted interviews and case preparations for clients seeking Orders of Protection
- Represented clients in hearings seeking to obtain orders of protection by conducting examinations and presenting evidence
Editor, Journal of Legal Medicine
SIU School of Law
Carbondale, IL
08.2015 - 05.2017
- Editor and former staff member of the Journal of Legal Medicine, a peer reviewed health law journal of the American College of Legal Medicine
- Published article: Sean Palmer, Swipe Right for Healthcare: How the State May Decide the Future of the mHealth App Industry in the Wake of FDA Uncertainty, 37 J Legal Med 249 (2017) (discussing developments and recommendations for the future of the mHealth app market)
Senior Law Student
SIU School of Law
Carbondale, IL
05.2015 - 08.2015
- Assisted attorney in preparing for child custody hearings
- Acted as a point of contact between the Department of Child Protective Services and the supervising attorney
- Contributed to hearings by writing briefs and conducting legal research
Intern
Lee County Circuit Clerk’s Office
Opelika, AL
08.2013 - 12.2013
- Shadowed Lee County Circuit Clerk, Mary Roberson
- Performed filing and paperwork for the office while gaining valuable exposer to the interworking of the courthouse
- Observed court proceedings for criminal and civil cases while being encouraged to think critically regarding the impact of the legal system on the community
Education
J.D. - Health Law and Policy
Southern Illinois University School of Law
05.2017
B.A. - Psychology, Political Science
Auburn University
05.2014
Skills
- Expert in conducting research
- Strong writing and organizational skills
- High level of efficiency
- Microsoft Office and Adobe tools
- Ethical conduct standards
- Strong team leadership skills
- Medicare and Medicaid expertise
- Medical terminology fluency
- Policy interpretation expertise
- Strong decision-making
- Patient confidentiality practices
- Documentation review
- Staff training and development
- HIPAA compliance mastery
References
References available upon request.
Timeline
Medical Claims Supervisor
Progressive Insurance
11.2021 - Current
Claims Support Supervisor
Progressive Insurance
06.2021 - 11.2021
Litigation Representative Sr.
Progressive Insurance
05.2019 - 06.2021
Medical Claims Intermediate
Progressive Insurance
06.2018 - 04.2019
Medical Claims Representative
Progressive Insurance
01.2018 - 06.2018
Claims Adjuster Generalist
Progressive Insurance
06.2017 - 12.2017
Senior Law Student
SIU School of Law
08.2016 - 05.2017
Editor, Journal of Legal Medicine
SIU School of Law
08.2015 - 05.2017
Senior Law Student
SIU School of Law
05.2015 - 08.2015
Intern
Lee County Circuit Clerk’s Office
08.2013 - 12.2013
J.D. - Health Law and Policy
Southern Illinois University School of Law
B.A. - Psychology, Political Science
Auburn University
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