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Click here or scroll down to respond to this candidate Candidate's Name
Milwaukee WisconsinPhone:PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEQUALIFICATIONS AND SKILLSHuman Resource or Claim Representative position, with interest in dispute resolutionand/or employee training, offering experience in the following areas:Dispute Resolution including negotiation, arbitration, and mediation.
Ten years of experience in personal and commercial insurance claims including medical,property, liability, fraud auto and special disasterclaims Human Resource Management Outstanding Interpersonal CommunicationsEDUCATION: Masters in Dispute Resolution Arbitration, Mediation, and Negotiation, Marquette University 2015 Honors/Mediation and Conflict Resolution Skills Training THE MEDIATION AND RESTORATIVE JUSTICE CENTER, 2012 Associate Degree in Applied Science -Paralegal MILWAUKEE AREA TECHNICAL COLLEGE 2008 Bachelor of Science in Human Resource Management, FRIENDS UNIVERSITY, Wichita, Kansas, 1986 Associate of Science in Business Administration, 1986WORK EXPERIENCEChurch Mutual Insurance Company- 2022-PresentPosition: Claims Adjust II & Customer Service AgentDuties: Interpret and apply insurance policies Evaluate and negotiate the resolution of claims Address the insured s questions accurately to address any felt complexities in the policy in a timely manner
Review the insured s policy to determine if new products would be beneficial to their policy based on their current needs
Complete certificates of insurance (loss payee), mortgage holders and evidence of insurance
Office of the City Attorney- 2018-2022Position: Investigator/AdjusterDuties: Draft correspondence including denial letter to claimants and their attorneyas wellas draft recommendation letters to the Common Council. Review medical reports, establish value of injury claims, and negotiate settlements. Analyze claims data and investigate reports from City agencies. Inspect property damage and accident sites, take photos and canvass for witnesses. Contact claimants or their attorneys, witnesses, and City personnel as investigationrequires.Anthem- 2017-2018Position: Subrogation AssistantDuties: Responsible for assisting in handling Third Party Liability, Workers'Compensation andother subrogation recoverycases. Primary duties may include, but are not limited to: Initiates calls to groups,insurance companies, attorneys, subscribers and others as necessary to completesubrogation recovery of potential third-party accidents and work related injuries. Responds to subscriber and group inquiries regarding information on injuryclaims. Works with subrogation staff, other departments, and outside clients to assist with therecovery process.
Prepares communications. Reviews diagnostic and procedure codes to determine claims.relevant to each caseActivate Staffing / American Family Insurance- 2016 - 2017Position: Claims Examiner InvestigatorDuties: Interprets and applies insurance policy to exposurespresented Identifies potential coverage issues Evaluates and negotiates the resolution of claims within authority levels Provides accurate and timely information to all internal and external stakeholders Creates and manages timely, clear and accurate documentation Provide estimates and recommendations for automobile repairs to autobody shopsQBE Insurance/ Sedgwick Claims Management- 2013-2016
Position: Casualty Claims SpecialistDuties: Interprets and applies insurance policy to exposures presented Identifies potential coverage issues Evaluates and negotiates the resolution of claims within authoritylevels Provide accurate and timely information to all internal and external stakeholders while creating and managing timely, clear, and accurate documentation.
Office of the Wisconsin State Public Defender- 2008-2013Position: Client Service SpecialistDuties:
Develop plans for alternatives to incarceration Conduct extensive client, witness, and family interviews Write extensive formal letters of sentencing memorandum and alternative to revocations forJudicial review Work closely with supervising attorneys, criminal investigators, probation agentsPrepare court filings and format of official documents Conduct witness interviews on investigation level Researched community based and institutional resources for clients' needsSave-A-Lot Foods/ Jewel-Osco/ Pick n Save, Milwaukee, Wisconsin 2005 - 2008 AssistantGrocery Manager Lead new-employee training programs in customer service and storeoperations Set merchandise displays Operated cash register and software system for cash handling accuracy Conduct intensive inventory controls and participate actively in store security and dispute resolution between customers and staff |
