Experience

• 

  Sedgwick

  • Baltimore, Maryland, United States

  • Claims Examiner III

    • Sep 2019 - Present
    • Baltimore, Maryland, United States

• 

  York Risk

  • Baltimore, Maryland

  • Resolution Specialist

    • Jul 2018 - Aug 2019
    • Baltimore, Maryland

    Acquired by Sedgwick

• 

  Key Risk Management Services

  • Baltimore, Maryland

  • Resolution Specialist & Member of Appeals Team

    • Dec 2007 - Jul 2018
    • Baltimore, Maryland

    Worked for a TPA managing a caseload of 125 litigated workers compensation claims for a major municipality account in the jurisdiction of MD. Negotiated settlement of claims resulting in a cost savings to the client in excess of $16.5M. In addition, member of dedicated appeals team managing an average of 5 appeals and responsible for reduction in exposure of approximately $482,000.Assigned to the litigation unit, specializing in negotiating stipulation and settlement of claims and assist defense counsel prepare cases for litigation. Attend monthly client meetings, hearings. Provide monthly reports, claim summary reviews on high exposure cases involving dependency, serious and permanent total disabilities.As a member of appeals team, responsible for evaluation of appeals in order to determine future course of action and settlement value. Attend mediation and pre trial conferences as well as trials when necessary. Work closely with defense counsel, agency representatives as well as risk management in order to obtain the most favorable outcome for client.In addition, handled cases for another alternative risk client where claims are investigated and managed through closure.TPA side of business sold to York

• 

  CMI Octagon, A Sedgwick CMS Company

  • Baltimore, Maryland

  • Senior Claims Account Manager

    • May 2003 - Nov 2007
    • Baltimore, Maryland

    Assigned to the litigation unit, specializing in negotiating stipulation and settlement of claims and assis defense counsel prepare cases for litigation.

• 

  GuilfordPare Ltd.

  • Baltimore, MD

  • Injury Manager

    • Jun 2002 - Apr 2003
    • Baltimore, MD

    Take a "care" and concern" approach to rapidly respond to new injuries and aggressively manage existing cases by applying knowledge of medical, legal, human resource management and workers compensation benefits statutes to assist clients in controlling their workers compensation disability cost and improve productivity.

• 

  Injured Workers Insurance Fund

  • Towson, Maryland

  • Workers Compensation Claims Adjuster

    • Oct 1999 - May 2002
    • Towson, Maryland

    Provided developments, analyses, and strategies on complex claims specializing in handling a myriad of diverse private and municipality accounts. These responsibilities also included policyholder visitations and periodic agent and agency contacts to review and analyze loss run reports and provide specific updates on all claims.

• 

  Wausau Insurance Companies

  • Towson, Maryland

  • Workers Compensation Claims Adjuster

    • Mar 1999 - Sep 1999
    • Towson, Maryland

    Managed the residual market for Wausau Insurance Companies for the MD, DC and VA jurisdictions, handling all aspects of case evaluation and resolution.

• 

  May Department Stores Co.

  • Baltimore, Maryland

  • Workers Compensation Claims Adjuster

    • Jul 1997 - Feb 1999
    • Baltimore, Maryland

    Integrated all aspects of workers compensation case management to 3 Divisions in a risk management department for the Eastern Region targeting toward helping the employer control their workers compensation costs, improve safety and mitigate risk. Developed return to work programs and trained supervisors in the creation of transitional duties to minimize lost workdays.