Wendy D. Dalton
Chester Springs,Pennsylvania
Summary
Senior Claims Professional with robust experience in evaluating and processing workers' compensation claims. Skilled in risk assessment, investigation, and ensuring compliance with industry standards. Strong focus on team collaboration and achieving optimal results, adaptable to evolving business needs. Known for reliability, analytical thinking, and effective communication.
Overview
25
25
years of professional experience
Work History
Workers Compensation Senior Claims Examiner
Penske Truck Leasing
07.2016 - Current
- Sole oversight of the administration of over 350 workers compensation claims in 11 states
- Collaborate with TPA, defense counsel, nurse case managers, and providers to determine the compensability and approach for management and/or resolution of claims
- Confer with Safety, HR, defense counsel and field management to assess injuries/risk exposure and recommend methods to minimize and avoid future potential injuries
- Work with associates, field management and/or transitional return to work vendors to facilitate placement of injured workers in temporary work assignments
- Work with Leave of Absence Team and HR during interactive process to facilitate alternate placement of an injured worker when permanent restrictions are assigned by medical provider
- Provide in-person training to management teams across the country relating to workers’ compensation procedures, safety, investigation and reporting procedures
- Oversee and monitor the actions and performance of the workers' compensation third party claims administrator, defense counsel and nurse case managers
- Work with HR and local field management to compile documentation responsive to discovery requests and subpoenas on litigated claims
- Coordinate with injured employees, their managers, medical care providers, witnesses, and others to obtain information, testimony, and evidence
Workers Compensation Senior Claims Analyst
Monument Insurance Services
03.2014 - 11.2015
- Collaborated with third party administrator on new claims to determine compensability and strategy for handling and/or resolving claims
- Monitored local counsel, claims examiners and nurse case managers to ensure claims are progressing efficiently
- Monitored adequacy of reserves
- Reviewed claims for fraud and subrogation potential
- Prepared and present quarterly status reports to Employer and Broker
Corporate/Estate/Litigation Paralegal
Lentz, Cantor & Massey
04.2008 - 03.2014
- Solely responsible for ensuring corporate compliance with PA Law, meeting and filing requirements
- Drafted corporate minutes, liquidation and dissolution plans, various agreements and supporting documents
- Prepared financing statements; researched liens in connection with corporate acquisitions and financing
- Analyze asset and account data for Estate filings; Preparation of Inheritance Tax Returns
Litigation Consultant
DuffyConnors
01.2006 - 04.2008
- Reorganized entire litigation department
- Trained incoming Associates
Litigation Paralegal
Campbell Trial Lawyers
11.2004 - 01.2006
- Assisted attorneys in representing a Fortune 500 automobile manufacturer as national counsel in complex product liability matters involving catastrophic injuries in both state and federal courts
- Monitored and ensured compliance with court ordered deadlines
- Maintained and managed extensive compilation of product documents and database
Insurance Defense Litigation/Workers’ Compensation Paralegal
Vaughan, Duffy & Connors, LLP
05.1999 - 11.2004
- Managed entire litigation department
- Drafted pleadings and discovery requests and responses
- Summarized Medical Records; Scheduled IME’s
- Trial preparation
Education
WCCA Designation -
THE INSTITITUES
11.2015
Paralegal Certification -
MAIN LINE PARALEGAL INSTITUTE
Malvern, PA05.1999
Courses - Criminal Law, Administration of Justice, Procedural Criminal Law
KUTZTOWN UNIVERSITY
Kutztown, PA06.1993
Skills
- Well-developed communication skills
- Ability to multitask
- Ability to perform under pressure
- Ability to take initiative
- Ability to operate without supervision
- Claims analysis
- Investigation techniques
- Litigation Management
- Claim Resolution
- Verbal Communication
- Teamwork and Collaboration
- Claims Investigation
- Experience with Microsoft Office, Risxfacs, Savvion, iManage, Gensuite, Oracle
Timeline
Workers Compensation Senior Claims Examiner
Penske Truck Leasing
07.2016 - Current
Workers Compensation Senior Claims Analyst
Monument Insurance Services
03.2014 - 11.2015
Corporate/Estate/Litigation Paralegal
Lentz, Cantor & Massey
04.2008 - 03.2014
Litigation Consultant
DuffyConnors
01.2006 - 04.2008
Litigation Paralegal
Campbell Trial Lawyers
11.2004 - 01.2006
Insurance Defense Litigation/Workers’ Compensation Paralegal
Vaughan, Duffy & Connors, LLP
05.1999 - 11.2004
Paralegal Certification -
MAIN LINE PARALEGAL INSTITUTE
Courses - Criminal Law, Administration of Justice, Procedural Criminal Law
KUTZTOWN UNIVERSITY
WCCA Designation -
THE INSTITITUES
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