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Skills

  • Cost-efficient claim closure
  • First Aid/CPR
  • Administrative support
  • Customer service
  • Communications
  • Defense strategy collaboration with legal teams
  • Process improvement
  • Program design
  • Vision planning
  • Error reduction in claims handling

Work Experiences

  • Developed a reputation for punctuality and hard work.
  • Collaborated closely with auditors on method, system, and program plan compliance testing.
  • Achieved a 41% decrease in employee recovery time.
  • Saved money by developing functional solutions to category problems.
  • Reduced worker's compensation fines by 2% by improving reporting processes.
  • Achieved zero penalties during 2022's state audit.
  • Used ServiceNow to compile data gathered from various sources.
  • Saved the company $14 per year by overhauling benefit plans such as life, disability, vision, and paid leave.
  • Analyzed departmental loss reserves.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.

Summaries

  • Well-versed in new hire orientation, onboarding, and training.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Lean certified
  • Strategic thinker with expertise in strategic planning.
  • Process, category, and standard are all available.
  • Senior Workers Compensation Adjuster and team leader with 14 years of experience in program settings.
  • Capable of detangling and bolstering complicated benefit systems.
  • Senior Workers Compensation Adjuster is a hardworking and dependable Senior Workers Compensation Adjuster who excels at team leadership and client relations.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • Proven ability to develop and implement strategic, well-planned benefits and compensation programs.

Accomplishments

  • Streamlined multi-jurisdictional claim processes through a new electronic documentation system, leading to a 28% reduction in administrative overhead.
  • Implemented EHS program modifications for Boston, driving a 67% decrease in frequency of injury claims.
  • Resolved 54% of dispute hearings favorably by collaborating with defense attorneys and strategic witnesses.
  • Reduced overheads by 83% by designing and implementing claims-handling templates that standardized workflow across 8 teams.
  • Delivered customized presentations to executive leadership detailing trends in claims and cost reduction opportunities, securing a 42% budget increase for department expansion.
  • Orchestrated 15 cross-state compliance audits, identifying systemic issues and implementing solutions that reduced penalties by $2.
  • Developed and executed defense strategies for high-value claims, achieving favorable legal outcomes in 43% of cases.
  • Trained new adjusters on in-depth claims analysis techniques, boosting departmental capacity and improving KPI performance by 47% within the first 15 months.
  • Delivered in-depth training on state-specific workers’ compensation laws and best practices, reducing onboarding timelines by 25% for new adjusters.
  • Managed a multi-state caseload of 2 claims, ensuring compliance with federal and state-specific regulations, reducing late payment penalties by 83%.

Affiliations

  • Member, Public Risk Management Association (PRIMA)
  • Member, American Risk & Insurance Association (ARIA)
  • Member, International Association of Rehabilitation Professionals (IARP)
  • Membership, National Association of Insurance Commissioners (NAIC)
  • Contributor, Workers’ Compensation Roundtable Webinars
  • Volunteer, National Commercial Liability Adjuster Network 2019
  • Active Member, Certified Claims Professional Accreditation Council (CCPAC)
  • Board Member, State Compensation Insurance Fund (SCIF) 2021
  • Conference Presenter, National Workers' Compensation and Disability Conference (NWCDC)
  • Affiliate, Society of Insurance Trainers and Educators (SITE)

Certifications

  • Workers’ Compensation Professional (WCP) Certification
  • CompTIA A+ Technician
  • National Institute of Adjusting Certification
  • Associate in Loss Control Management (ALCM)
  • Cisco Certified Internetwork Expert (CCIE)
  • American Academy of Financial Management (AAFM)
  • Senior Claim Law Associate (SCLA)
  • Certified Adjuster Designation (CAD)
  • Occupational Health Nurse Certification (COHN-S)
  • Google Certified Professional Cloud Architect

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