Nicholas Kot
Washington Retro Program Manager at CareWorksComp- Claim this Profile
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Bio
Credentials
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Washington Workers Comp. Adjudicator 2
Washington State Department of Labor and IndustriesFeb, 2018- Oct, 2024
Experience
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CareWorksComp
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United States
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Insurance
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1 - 100 Employee
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Washington Retro Program Manager
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Feb 2022 - Present
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Claims Team Lead; Specialty Operations
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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.
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Senior Claims Examiner
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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.
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Washington State Department of Labor & Industries
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United States
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Government Administration
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400 - 500 Employee
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Washington State Claims Adjudicator 2
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Apr 2016 - Sep 2018
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Western State Hospital
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United States
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Mental Health Care
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1 - 100 Employee
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Sports Therapist
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Aug 2013 - Aug 2014
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Arthur Murray Dance Studio
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Entertainment
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1 - 100 Employee
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Dance Instructor
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May 2008 - Mar 2010
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Education
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Washington State University
Bachelor of Applied Science - BASc, Human Development and Family Studies, General -
South Puget Sound Community College
Associate of Arts - AA