Sara Paveh
Encino
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Examiner
Sedgwick Claims Management
11.2023 - Current
- Investigate claims by obtaining statements from claimants and employers to determine if claim should be admitted/denied;
- Review wage statements to determine Average Weekly Earnings, Temporary Disability Rate, and Permanent Disability Rates;
- Maintain contact with claimants while disabled to determine if benefits should continue to be administered;
- Review and rate MMI reports by PTP/QME to determine permanent disability exposure;
- Draft appropriate benefit notices to claimants as well as settlement documents (C&R/Stipulation with Request for Award).
Hearing Representative
Liberty Mutual Insurance
11.2021 - 11.2023
- Attend hearings including (Expedited Trials, Priority Conferences, Status Conferences, Mandatory Settlement Conferences, Lien Conferences, and Lien Trials) and orally argued before Workers' Compensation Appeal Judges to Represent the interests of the employer or insurer;
- Investigate claims to determine compensability;
- Thoroughly review claim file and provide detailed analysis of defenses to claims adjuster;
- Complete administrative tasks including preparing hearing reports in connection with closing cases and/or developing litigation plans.
Hearing Representative
Dennis Hershewe Law Office
09.2018 - 11.2021
- Rate workers compensation P&S MMI medical reports and determine the value based on their TTD, Wages & PD;
- Review medical reports & address all issues & benefits available to injured workers;
- Appear at the workers' Compensation Boards to attend Expedited Trials; Priority Conference; Mandatory Settlement Conferences; and Status Conferences;
- Conducts legal research as necessary to drafts pleadings, motions, briefs, discovery and other file documents.
Lien Specialist
CorVel Corporation
01.2018 - 11.2021
- Litigate cases, including Lien Trials, on behalf of CorVel at the Workers' Compensation Appeal Board;
- Determine appropriate authority/settlement regarding liens;
- Prepare the Pre-Trial Conference Statement and present exhibits and legal arguments at hearings;
- Conduct legal research in connection with drafting Trial Briefs in preparation for Lien Trial;
- Walk-through Compromise and Release agreements and Stipulations with Request for Award before Workers' Compensation Judges and discuss medical reports in support of adequacy of the settlement in order to obtain judicial approval of the settlement.
Hearing Representative
Zgrablich & Montgomery
01.2018 - 11.2021
- Responsible for file handling including determining PD Rating and Indemnity calculations;
- Successful management of claim recoveries by identification & pursuance of subrogation, UEBTF & Subsequent Injuries Benefits Trust Fund, Excess Reimbursement and Medicare Offset;
- Review and interpret doctor's reports to ensure that the appropriate American Medical Association (AMA) guidelines have been applied when reporting disability, impairment, and apportionment, and provide recommendations and case analysis for litigation strategy.
Lien Specialist
Juvo
07.2017 - 11.2021
- Conduct negotiations for settlement of claims with claimants and attorneys within designated authority level;
- Litigate cases, including Lien Trials, on behalf of Everest National Insurance Company adj., by Sedgwick at the Workers' Compensation Appeal Board;
- Walk-through Compromise and Release agreements and Stipulations with Request for Award before Workers' Compensation Judges and discuss medical reports in support of adequacy of the settlement in order to obtain judicial approval of the settlement.
Lien Specialist
MJR Management
01.2006 - 03.2020
- Manage 90-100 cases per day and aggressively advocate the position of the physicians seeking reimbursement for services provided to injured workers;
- Litigate cases, including Lien Conferences and Lien Trials, at the Workers' Compensation Appeal Board;
- Draft pleadings, motions, briefs, discovery, and file Declaration of Readiness to Proceed.
Accomplishments
- Guest Speaker at the October 2017 Los Angeles Applicants' Attorneys Association (LAVAAA)
Certification
Workers' Compensation Claims Adjuster (WCCA)
Certified Medical Bill Reviewer
Timeline
Claims Examiner
Sedgwick Claims Management
11.2023 - Current
Hearing Representative
Liberty Mutual Insurance
11.2021 - 11.2023
Hearing Representative
Dennis Hershewe Law Office
09.2018 - 11.2021
Lien Specialist
CorVel Corporation
01.2018 - 11.2021
Hearing Representative
Zgrablich & Montgomery
01.2018 - 11.2021
Lien Specialist
Juvo
07.2017 - 11.2021
Lien Specialist
MJR Management
01.2006 - 03.2020
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