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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLEEMAIL AVAILABLE LINKEDIN LINK AVAILABLE Enthusiastic and ambitious individual seeking to obtain a position that continues to place a strong emphasis on the value of my communication skills, operations skills, and project management skills, all while continuing to develop and broaden my work expertise. EXPERIENCEAUGUST 2023 CURRENTCENTRAL SUBROGATION MANAGER, TRISTAR RISK MANAGEMENT Handle a caseload of severe losses Oversee specialty claim handing Monthly reporting and statistics for claims department Research and develop policy and procedures. Create and implement new workflows and develop training materials Oversee project operations Oversee arbitration filings and maintain legal arguments and databases Develop and implement quality control processes Supervise a team of 30 adjusters Work with clients to achieve maximum recovery and to build back-end processing and reporting.JANUARY 2014 MAY 2023CLAIMS OPERATIONS MANAGER/CLAIMS SUPERVISOR/CLAIMS AND SUBROGATION SPECIALST, AVANT SPECIALTY CLAIMS Monthly reporting and statistics for claims department Generate KPIs, financial statements and reconciliation, identifying pro-rata claim adjustments Monthly bordereaux reconciliation Manage multiple bank accounts for producers and underwriters within the TPA authority Working to onboard new accounts for TPA claims management Working directly with vendors and reviewing vendor contracts Work directly with producers and underwriters to insure correct claims reporting Drafting policy and procedures, develop SOP and Best Practices Systems management and training, user testing and implementation IT Power User, responsible for liaising between claims and IT Direct supervision of claims assistants and claims representatives Indirect supervision of claims adjusters Claim review and authority request approvals Overseeing the intake and assignment of new losses Develop and oversee quality control processes2 Project management Handling first and third party heavy equipment/trucking claims on special accounts Witness statements and driver statements ISO/OFAC reporting Negotiating settlement Filing and answering arbitration Medical file review Reviewing files for litigation and overseeing the litigation process Liaising with attorneys and working to acquire and draft NDAs FEBRUARY 2013 NOVEMBER 2013PARALEGAL, DHPM, PC Handled personal injury cases from sign up to settlement Completed intake appointments and handled all scheduling Drafted demands Drafted all legal complaints and answers Responded to interrogatories Requested medical records Drafted attorney correspondence and requests for documentation NOVEMBER 2010 FEBRUARY 2013PARALEGAL, KEMBERTON HEALTHCARE SERVICES Reviewed healthcare insurance denials and drafted appeals Reviewed workers compensation payment denials and drafted appeals Telephone conferences with clients, attorneys, doctor office and insurance adjusters EDUCATIONAUGUST 2001BACHELOR OF SCIENCE, UNIVERSITY OF TENNESSEE AT CHATTANOOGA Double Major in Criminal Justice and PsychologySKILLS Quality Control Operations Management Project Management Vendor Management Claims Management Analytic Problem Solving Claims Operating Systems Attorney RelationshipsLICENSING AND CONTINUING EDUCATIONThe Institutes Medical Record ReviewAdjuster License DHS Florida and all reciprocating states |
