Stephane Robert

Workers’ Compensation Claims Examiner at PRG Insurance Recruiters
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Contact Information
us****@****om
(386) 825-5501
Location
Yorba Linda, California, United States, US
Skills

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Credentials

  • California Independent Adjuster License
    California Department of Insurance
    Jul, 2018
    - Nov, 2024
  • Self-Insured Administrator’s Certificate (SIP)
    California Department of Insurance

Experience

  • PRG Insurance Recruiters
    • United States
    • Staffing and Recruiting
    • 1 - 100 Employee
    • Workers’ Compensation Claims Examiner
      • Mar 2018 - Present

      Manage new indemnity loss claims. Duties include investigation; coverage determination; medical care management; assessment of compensation benefits; calculation and negotiation of settlements; communication with claimants, insureds, medical providers, attorneys, and, brokers; presentation of claim reviews. Manage new indemnity loss claims. Duties include investigation; coverage determination; medical care management; assessment of compensation benefits; calculation and negotiation of settlements; communication with claimants, insureds, medical providers, attorneys, and, brokers; presentation of claim reviews.

  • Sedgwick
    • Insurance
    • 700 & Above Employee
    • Claims Examiner
      • Jul 2017 - Mar 2018

      Managed 125 new indemnity loss claims. Duties included investigation; coverage determination; medical care management; assessment of compensation benefits; calculation and negotiation of settlements; communication with claimants, insureds, medical providers, attorneys, and, brokers; presentation of claim reviews. Managed 125 new indemnity loss claims. Duties included investigation; coverage determination; medical care management; assessment of compensation benefits; calculation and negotiation of settlements; communication with claimants, insureds, medical providers, attorneys, and, brokers; presentation of claim reviews.

  • AIG Insurance
    • Workers' Compensation Claim Representative
      • Jan 2012 - Jul 2017

      Managed 145 new indemnity loss claims. Duties included investigation; coverage determination; medical care management; assessment of compensation benefits; calculation and negotiation of settlements; communication with claimants, insureds, medical providers, attorneys, and, brokers; presentation of claim reviews. Managed 145 new indemnity loss claims. Duties included investigation; coverage determination; medical care management; assessment of compensation benefits; calculation and negotiation of settlements; communication with claimants, insureds, medical providers, attorneys, and, brokers; presentation of claim reviews.

  • Veterinary Pet Insurance
    • Sales Representative
      • Apr 2005 - Dec 2011

      Individual and group pet health insurance sales. Duties included customer service; policy coverage and benefits review; applicant qualification approval; underwriting collaboration. Individual and group pet health insurance sales. Duties included customer service; policy coverage and benefits review; applicant qualification approval; underwriting collaboration.

  • Bank of America Auto Finance
    • Remarketing Representative II - Senior Leasing Officer
      • Mar 1999 - Dec 2004

      End-of-lease auto sales/lease extension. Duties included restructuring and negotiating leases/loans for customers/dealers; credit analysis; warranty package sales. End-of-lease auto sales/lease extension. Duties included restructuring and negotiating leases/loans for customers/dealers; credit analysis; warranty package sales.

  • Aerotek
    • Contracts Manager/Recruiter
      • Apr 1997 - Mar 1999

      Contracts Manager, February 1998-March 1999 • Developed entire client base; made daily sales calls on businesses; negotiated bill rates with clients; ensured continued client satisfaction; supervised and motivated Recruiters; produced weekly sales reportsRecruiter, April 1997-February 1998• Located, interviewed, evaluated, and maintained relationships with contract employees for job placement; provided support to Contracts Managers; worked under severe time constraints Contracts Manager, February 1998-March 1999 • Developed entire client base; made daily sales calls on businesses; negotiated bill rates with clients; ensured continued client satisfaction; supervised and motivated Recruiters; produced weekly sales reportsRecruiter, April 1997-February 1998• Located, interviewed, evaluated, and maintained relationships with contract employees for job placement; provided support to Contracts Managers; worked under severe time constraints

  • Iceoplex
    • Director of Hockey Operations
      • Jul 1993 - Feb 1997

      Developed entire full-capacity hockey league client base; created marketing strategy/organizational structure; directed allocation of funds for operations; maintained inventory; supervised/scheduled staff, officials, coaches, and ice time; provided hockey/skating instruction Developed entire full-capacity hockey league client base; created marketing strategy/organizational structure; directed allocation of funds for operations; maintained inventory; supervised/scheduled staff, officials, coaches, and ice time; provided hockey/skating instruction

Education

  • Université de Montréal
    Bachelor of Science (B.S.), Economics
    1986 - 1989

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