Highly skilled and detail-oriented Workers’ Compensation Specialist with 20+ years of experience managing indemnity claims and providing a high degree of customer service to clients. Strong problem-solving skills and ability to work effectively in a team-based environment.
Overview
22
22
years of professional experience
Work History
Senior WC Claims Specialist
CorVel
09.2025 - Current
Initial investigation to determine compensability of claims
Establish claim reserves for most probable outcome
Communicate with the insured and claimant for claim status updates
Coordinate with subrogation specialist for potential third-party recovery
Excess reporting to the Excess carrier
Develop action plans to move claims towards resolution
Senior Claims Examiner
Broadspire Services, Inc.
01.2024 - 09.2025
Primary interface between client Human Resources and Risk Management contacts and claimants
Commanded multiple points of contact within disparate silos to vet legitimacy, identify causality, and determine proper outcomes
Negotiating conduit between client, applicant attorneys, injured workers, and lien claimants in order to facilitate cost-effective settlements
Performed in-depth analysis to identify inflection points for fraudulent activity
Prepared detailed status reports and presented in-person/telephonic file reviews to clients
Analyzed claim exposure for accurate reserves and settlement evaluation
Subrogation Recovery Specialist
CopperPoint Insurance Companies
12.2021 - 01.2024
Built and monitored dedicated action plans for the claims department
In close collaboration with claims teams, design and deploy claims processes for more systematic subrogation detection opportunity
Defined clear externalization strategy for types of Subrogation cases to be managed externally or internally
Reviewed contractual relationship between policyholders and third-parties
Accountable for Subrogation targets achievement
Negotiated and resolved third-party settlements with insurance carriers and attorneys
Senior Claims Representative
York Risk Services Group
10.2015 - 12.2022
Adjusted and administered benefits for approximately 150 claims
Presided over full-scale, multidimensional project management process flow involving hundreds of concurrent unique cases
Provided customer service to multi-client desk load; 5 different Client Service Instructions
Defended and resolved with best possible outcome litigated claims
Commanded teams for specialized initiatives including claims investigations, processed bottleneck alleviation and compliance auditing
Claims Examiner
Safeway, Inc.
02.2004 - 06.2012
Completed 3-point contacts within 24 hours
Well versed in indemnity and medical expense reserving, benefit calculation and administration, litigation, subrogation, and medical treatment authorization
Formulated accurate AOE/COE decisions on claims in accordance with the labor code and case law