Experience

ESM INSITE
• United States
• Insurance
• 1 - 100 Employee
• Senior Claims Advocate

  • Jul 2022 - Present


Athens Administrators

• United States
• Insurance
• 200 - 300 Employee

• Claims Supervisor

  • Oct 2018 - Jul 2022

• Senior Claims Examiner

  • Jan 2018 - Sep 2018


Sedgwick
• Insurance
• 700 & Above Employee
• Claims Examiner

  • Sep 2017 - Jan 2018
• Senior Claims Examiner

  • Jun 2015 - Sep 2017

  Adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing and directing medical treatment, setting reserves, and negotiating settlements. Adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing and directing medical treatment, setting reserves, and negotiating settlements.

• Claims Examiner II

  • Nov 2011 - Jun 2015

  • Analyzing and managing complex lost time/indemnity claims through investigation and utility of external vendors • Experience with Insured, Self Insured, and captive member clients • Manage a caseload of 140-170 claims • Manage claim reserves adequately for the life of the claim • Employing cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for clients • Actively manage administrative litigation of claims • Administering Temporary and Permanent Disability Benefits due when appropriate • Providing detailed settlement analysis of claims for client approval • Manage claims through internal and external systems • Preparing state filings within statutory limits • Assisting clients with training and implementation of safety plans and procedures



Comerica Bank

• United States
• Banking
• 700 & Above Employee

• Customer Service Representative

  • Jan 2011 - Nov 2011

  • Meet or exceed individual goals for sales and referrals. Provide remarkable customer service through customer interactions, opening new accounts, problem resolution, safe deposit access, etc. • Responsible for developing an in-depth knowledge of consumer products and services; referring loans and deposit products to consumer and small business customers and prospects. • Provide transactional customer service, including but not limited to the following: accept and process deposits, withdrawals and payments and handle other over the counter and mail t ransactions. • Conduct outbound calls by using referral sources, walk-in sources, telephone or in-person calls.



Extended Stay Hotels

• United States
• Hospitality
• 1 - 100 Employee

• Guest Services Representative

  • Aug 2009 - Jan 2011

  •Processes guest reservations, registrations, payments, and departures. • Balances all cash, check, credit card and city ledger accounts through verification. Shift reports and performs audit functions if assigned. • Responsible for thorough understanding and effective performance of property management system. •Processes guest reservations, registrations, payments, and departures. • Balances all cash, check, credit card and city ledger accounts through verification. Shift reports and performs audit functions if assigned. • Responsible for thorough understanding and effective performance of property management system.