Experience

Lowers Risk Group

• United States
• Security and Investigations
• 1 - 100 Employee

• Senior Claims Adjuster

  • Apr 2023 - Present

  Multi-Line Adjuster Multi-Line Adjuster



Walmart

• United States
• Retail
• 700 & Above Employee

• Case Manager 3

  • Aug 2022 - Apr 2023



Walmart Claims Services

• United States

• Case Manager 2

  • Apr 2022 - Jul 2022



Crawford & Company

• United States
• Insurance
• 700 & Above Employee

• Senior Multi-Line Adjuster

  • Nov 2017 - Apr 2022



Wal-Mart Claims Administration

• • Oct 2015 - Oct 2017

  Mentored four case managers. Conducted supervisory review of cases within team. Designated Medicare and Medicaid authority. Authorized and approved settlements/denials of lower-level adjusters. Investigated and evaluated catastrophic in nature claims $30,000 and higher. Determined resolution and recommended settlement negation plan.• Submitted appropriate documentation to settle/deny claim based on state statutes.• Maintained contact with claimant attorneys and claimants every 30 days at minimum, as well as outside counsel for company on an as needed basis.• Worked daily mail to completion. Show less

• • May 2007 - Oct 2015

  Oversaw team of up to six Case Managers and one Case Manager IV. Reviewed all claims for team from auto generated tasks, reserve approvals, settlement approvals, and denial approvals. Studied monthly reports, including pending, reserves, claim payments, lawsuits, and trend analysis for six states. Conducted monthly one-on-one meetings with team members.• Held weekly team meetings to notify team of production or changes in protocol/claims management. • Conducted mid-year and quarterly evaluations of each team member. Coached team members for improvement. Show less

• • Mar 2004 - May 2007

  Investigated and evaluated catastrophic in nature claims $20,000 and higher. Determined resolution and recommended settlement negation plan. Submitted appropriate paperwork to settle or deny claim based on state statutes. Maintained contact with claimant attorneys and claimants every 30 days at minimum. Worked daily mail to completion.

• • Jun 1999 - Mar 2004

  Investigated and evaluated insurance claims under $20,000. Determined resolution and recommended settlement negotiation plan. Submitted appropriate paperwork to settle or deny claim based on state statutes. Maintained contact with claimant attorneys and claimants every 30 days at minimum. Worked daily mail to completion.