Washington Retro Program Manager

• Feb 2022 - Present

Claims Team Lead; Specialty Operations

• Jan 2020 - Feb 2022

To supervise claims examiners processing claims for a single product line for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims including frequent diaries on complex or high exposure claims. Works with employers to determine the best resolution to provide positive retro performance and reduce factors affecting premium… Show more To supervise claims examiners processing claims for a single product line for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims including frequent diaries on complex or high exposure claims. Works with employers to determine the best resolution to provide positive retro performance and reduce factors affecting premium rates paid in to insurance. Compiles return to work scenarios and directly accompanies vocational rehabilitation specialists to address return to work in temporary and permanent positions. A subject matter expert in most, if not all, components of a worker's compensation claim.

Senior Claims Examiner

• Sep 2018 - Dec 2020

Reviews, evaluates and processes worker's compensation claims and makes recommendations for resolution. Examines, and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Has contact with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. Works with employers to determine the best resolution to… Show more Reviews, evaluates and processes worker's compensation claims and makes recommendations for resolution. Examines, and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Has contact with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. Works with employers to determine the best resolution to provide positive retro performance and reduce factors affecting premium rates paid in to insurance. Compiles return to work scenarios and directly accompanies vocational rehabilitation specialists to address return to work in temporary and permanent positions. A subject matter expert in most, if not all, components of a worker's compensation claim.

Washington State Claims Adjudicator 2

• Apr 2016 - Sep 2018

Sports Therapist

• Aug 2013 - Aug 2014

Dance Instructor

• May 2008 - Mar 2010