Experience

CCMSI

• United States
• Insurance
• 700 & Above Employee

• Senior WC Claim Consultant

  • Jul 2015 - Present

  CCMSI 7/20/2015 to present Position: Senior Workers’ Compensation Claim Consultant Duties: Investigated and managed loss time and questionable workers’ compensation claims to a conclusion. Performed 3 point contact, assigned nurse case managers on more complex cases to assist with causation, return to work issues. Identified claims with second injury fund and subrogation potential to reduce employer’s financial exposure. Worked with defense counsel to develop and implement… Show more CCMSI 7/20/2015 to present Position: Senior Workers’ Compensation Claim Consultant Duties: Investigated and managed loss time and questionable workers’ compensation claims to a conclusion. Performed 3 point contact, assigned nurse case managers on more complex cases to assist with causation, return to work issues. Identified claims with second injury fund and subrogation potential to reduce employer’s financial exposure. Worked with defense counsel to develop and implement litigation plans to resolve disputed claims for compensation. Show less CCMSI 7/20/2015 to present Position: Senior Workers’ Compensation Claim Consultant Duties: Investigated and managed loss time and questionable workers’ compensation claims to a conclusion. Performed 3 point contact, assigned nurse case managers on more complex cases to assist with causation, return to work issues. Identified claims with second injury fund and subrogation potential to reduce employer’s financial exposure. Worked with defense counsel to develop and implement… Show more CCMSI 7/20/2015 to present Position: Senior Workers’ Compensation Claim Consultant Duties: Investigated and managed loss time and questionable workers’ compensation claims to a conclusion. Performed 3 point contact, assigned nurse case managers on more complex cases to assist with causation, return to work issues. Identified claims with second injury fund and subrogation potential to reduce employer’s financial exposure. Worked with defense counsel to develop and implement litigation plans to resolve disputed claims for compensation. Show less



FARA A York Risk Service Company

• Baton Rouge LA

• Senior Workers' Compensation Claims Examiner

  • May 2011 - Jul 2015

  Investigated, managed, and concluded loss time and questionable workers’ compensation claims as directed by the client. Performed three point contacts to determine compensability. Managed injured workers’ medical treatment. Transitioned loss time claims to return to work. Scheduled second medical opinions and independent medical examinations to resolve work capabilities and medical causation issues Settled litigated and non-litigated claims. Identified claims with second injury fund… Show more Investigated, managed, and concluded loss time and questionable workers’ compensation claims as directed by the client. Performed three point contacts to determine compensability. Managed injured workers’ medical treatment. Transitioned loss time claims to return to work. Scheduled second medical opinions and independent medical examinations to resolve work capabilities and medical causation issues Settled litigated and non-litigated claims. Identified claims with second injury fund potential. Once these claims were identified, prepared submissions to the Second Injury Board with supporting documentation. Show less Investigated, managed, and concluded loss time and questionable workers’ compensation claims as directed by the client. Performed three point contacts to determine compensability. Managed injured workers’ medical treatment. Transitioned loss time claims to return to work. Scheduled second medical opinions and independent medical examinations to resolve work capabilities and medical causation issues Settled litigated and non-litigated claims. Identified claims with second injury fund… Show more Investigated, managed, and concluded loss time and questionable workers’ compensation claims as directed by the client. Performed three point contacts to determine compensability. Managed injured workers’ medical treatment. Transitioned loss time claims to return to work. Scheduled second medical opinions and independent medical examinations to resolve work capabilities and medical causation issues Settled litigated and non-litigated claims. Identified claims with second injury fund potential. Once these claims were identified, prepared submissions to the Second Injury Board with supporting documentation. Show less



Travelers

• United States
• Insurance
• 700 & Above Employee

• Workers' Compensation investigator/adjuster

  • Oct 2008 - Apr 2010

  Investigating injured workers' accidents to determine if injury was sustained in the course and scope of employment, transitioning and handling some claims as return to work. Benefit Management: Administering medical benefits for injured workers' when indemnity issues are resolved.

• Claim Representative

  • Nov 1997 - Sep 2008

  Investigating and adjusting automobile and homeowner liability bodily injury claims with some litigation handling