Detail-oriented and results driven employee with 9+ years of experience. Strong command of conflict resolution and negotiation combined with excellent customer service skills.
Overview
6
6
years of professional experience
Work History
Workers Compensation Claims Specialist
PMA Insurance Group
01.2006 - 01.2009
Reduced company costs over 3 million dollars with an increase in 15-8 and 14-6 reimbursements from NY State Special Funds Conservation Committee.
Maintained and distributed various monthly reports to several key claims managers, Corporate Insurance Branch Office Manager and Senior Corporate Specialists.
Responsible for implementing and maintaining compliance with all government and personnel policies, procedures and regulations with the responsibility of ensuring all contracts, reports and forms were completed properly and on time.
Recognized by senior management on numerous occasions for exceptional performance; Recipient of Company Quarterly Award of Recognition for Outstanding Performance.
Partnered with all levels of management to develop and implement Workers Compensation Section 15-8d training program, resulting in team members achieving higher 15-8 pre trial concessions with Special Funds Conservation Committee.
Workers Compensation Claims Adjuster
The Hartford Insurance Group
03.2005 - 03.2006
Investigated long term exposure claims and set indemnity and medical reserves accordingly following company and statutory guidelines.
Updated several company proprietary applications, forms and tab worksheets.
Contact with insureds, injured workers, physicians and review of medical reports in the determination of causally related medical treatment of workers compensation claims.
Claims Technical Assistant
Autoone Insurance
04.2003 - 03.2005
Educated and trained new employees of the goals and objectives of customer service function.
Provided support to the Bodily Injury and Property Damage units in daily tasks, such as investigating uninsured motorists claims, DMV license plate checks, executing phone calls to attorneys, vendors and banks and sending out various letters and forms.
Responsible for receiving inbound customer service inquiries. Duties included; data entry, verification of medical billing information, claims processing and complaint documentation.
Education
Bachelor of Science - Human Resources Management
State University of New York At Cortland
Cortland, New York
12-2001
Skills
Customer Service
Peer Training
Microsoft Office
Exceptionally organized and disciplined
Timeline
Workers Compensation Claims Specialist
PMA Insurance Group
01.2006 - 01.2009
Workers Compensation Claims Adjuster
The Hartford Insurance Group
03.2005 - 03.2006
Claims Technical Assistant
Autoone Insurance
04.2003 - 03.2005
Bachelor of Science - Human Resources Management
State University of New York At Cortland
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