Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Sheri I. Webster

London,ON

Summary

A position offering challenge and responsibility in the Rehabilitation Field utilizing my experience in implementing recommendations provided by healthcare professionals in a efficient manner as well as goal setting to ensure a successful work transition that also contributes to corporate profitability. Highlights of Qualifications Offering over 10 years of successful experience in handling Accident Benefits claims under Bill 34, Bill 198, Bill 59 and limited Bill 164 as a Senior Accident Benefits Adjuster. Experienced Independent Adjuster, Company Examiner and In-House Telephone Adjuster. Personal Strengths Record of sound planning, decision-making and negotiating tactics effectively resolve problems and enhance the satisfaction of each claim. Resourceful, efficient, well organized and flexible. Excellent communication and interpersonal relationship skills, with proven results in building and motivating winning teams that exceed objectives.

Overview

30
30
years of professional experience

Work History

Claims Examiner

Canada Life
London, ON
06.2012 - Current
  • Adjudicate dental and/or healthcare claims while also reviewing and investigating Canadian Health and Dental claims in accordance with group policy contracts.

Senior Healthcare Service Advisor

Aviva Canada Inc
London, Ont
05.2010 - 11.2010
  • Handling of Senior claims which include Catastrophic impairments as outlined under the Statutory Accident Benefits Schedule
  • Worked closely with Healthcare providers (OT, PT, Case Manager, Physicians, etc.
  • Implemented and facilitated RTW programs, retraining individuals to find alternative employment as a result of a permanent disability
  • Reserved files adequately and obtain necessary settlement authority prior to all settlement discussions with legal counsel
  • Upon new legislation, I was involved in a company initiative to settle a large amount of claims pertaining to Bill 34 and was successful at meeting the objectives.

Claims Representative

Intact Insurance
London, Ont
07.2008 - 04.2010
  • Accident Benefits, working closely with ADR (Alternative Dispute Resolution) Specialist in preparing for FSCO mediations and to determine appropriate negotiating tactics
  • Reserving files adequately for settlement purposes
  • Handling complex and catastrophic claims
  • Accountable for providing excellent customer service, assessment management, while in compliance with the Statutory Accident Benefits Schedule.
  • Processed high volumes of accident benefit claims efficiently while working in fast-paced environment.

Accident Benefits Adjuster

Wawanesa Mutual Insurance Company
London, Ont
10.2006 - 07.2008
  • Handling complex and catastrophic claims
  • Wawanesa Representative in private mediations
  • Senior authority level granted to settle claims.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.

The Guarantee Company of North America
Woodstock, Ont
07.2004 - 10.2006
  • Accident Benefits Examiner responsible for ongoing handling and investigation of medium to complex Accident Benefits claims
  • Duties included full handling, examining, coordinating, and supervising independent adjusters and various providers and responsible for working closely with legal counsel throughout the dispute resolution processes.

Insurance Adjuster

CGI Adjusters Inc
London, Ont
06.2003 - 06.2004
  • Specializing in Accident Benefits claims
  • Handled Full and Task assignments, which included Medical/Rehabilitation and Weekly Benefit claims
  • Full investigation completed – signed statement, accident scene photographs, team meetings, etc.

Insurance Adjuster

Chenier & Associates Ins. Adjusting Inc
Timmins, Ont
09.2001 - 06.2003
  • Handled a variety of claims - Specializing in Accident Benefits
  • Successfully completed all investigating, negotiating and settlement of Accident Benefits, Bodily Injury and Property damage claims
  • Conducted witness interviews to assist claim information gathering process.
  • Investigated claims, conducted field audits, determined losses and reported findings.
  • Worked closely with rehabilitation providers, lawyers, restoration companies, reconstructive engineers, Insurer’s, etc.
  • Verified liability extent with reviews of police reports, medical treatment histories and other records.
  • Investigated properties, classified damages and created estimates outlining repair costs.

Pharmacy Technician

Pharma Plus Drugmart
London, ON
08.1994 - 07.2001
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Maintained pharmacological practices by checking drug inventory, stocking medications and monitoring supplies.
  • Interpreted and processed medication orders under supervision of pharmacist.

Education

Case Management

Seneca College of Applied Arts And Technology
North York, ON
01.2017

Vocational Rehabilitation II -

Seneca College of Applied Arts and Technology
North York, ON
01.2010

Procedural Training, Addendum To Bill 198 Effective -

CGI Adjusters Inc
01.2006

Negotiation Skills Course -

IAO School
01.2004

The Co-operators General Insurance Company. (Guelph, Ont.) Bill 59 SABS training course (duration -

01.2002

Business Insurance

Fanshawe College
London, ON
01.1998

Skills

  • Conflict Resolution
  • Multitasking and Organization
  • Quality Control
  • Listening Skills
  • Excellent Communication

References

References and Volunteer Experience Available Upon Request

Timeline

Claims Examiner

Canada Life
06.2012 - Current

Senior Healthcare Service Advisor

Aviva Canada Inc
05.2010 - 11.2010

Claims Representative

Intact Insurance
07.2008 - 04.2010

Accident Benefits Adjuster

Wawanesa Mutual Insurance Company
10.2006 - 07.2008

The Guarantee Company of North America
07.2004 - 10.2006

Insurance Adjuster

CGI Adjusters Inc
06.2003 - 06.2004

Insurance Adjuster

Chenier & Associates Ins. Adjusting Inc
09.2001 - 06.2003

Pharmacy Technician

Pharma Plus Drugmart
08.1994 - 07.2001

Case Management

Seneca College of Applied Arts And Technology

Vocational Rehabilitation II -

Seneca College of Applied Arts and Technology

Procedural Training, Addendum To Bill 198 Effective -

CGI Adjusters Inc

Negotiation Skills Course -

IAO School

The Co-operators General Insurance Company. (Guelph, Ont.) Bill 59 SABS training course (duration -

Business Insurance

Fanshawe College
Sheri I. Webster