Claims Specialist Case Manager

STEPHANIE HANLEY

- *** Pecos Trl Crossroads, TX *6227 ( 907-***-****

* adoznu@r.postjobfree.com

EDUCATION

University of Phoenix

Anchorage, Alaska

Bachelor Expected Completion Date: Undetermined Bachelor of Science: Psychology

Associates Completion Date: December 2008 Associates: Arts of Psychology

P& C Completion Date: June 2006 Property and Casualty License

Anchorage, Alaska

Adjuster License Completed: July 2013 All Lines Adjuster License

Texas, Mississippi, Alabama, Louisiana, Arkansas

EMPLOYMENT HISTORY

Senior Claims Specialist II February 2012 to Present

Liberty Mutual Insurance Company / Safeco

Licensed in Texas, Alabama, Mississippi, Louisiana, and Arkansas

Attended Alabama Yearly Conference and Arkansas Formwork Seminar

Mentor New Hire

Participant with the Employee Events Logistics Committee

Participant with the Pharmacy Committee including Spot light Awards

Participant in Senior Leadership within office

Led Audit Discussion within Team and Feedback

Developed strong rapport with lawyers, agents and high profiled customers in several states

Participated in round tables

Led team huddles

Audits reflect Liberty Standard and overall 96% year end results

Received multiple awards including customer award for high value program, three months in a row. Customer Experience Award in 2016. Bravo Award.

Participated in Alabama Mediation

Attended a Summit with a specific customer in Philadelphia, PA

Casualty Adjuster March 2013 to July 2014

Safeco Insurance (Liberty Mutual)

Assess policy coverage, contact insured, determine and establish reserve requirements

Review and set-up claims in the tracking system and describe the loss to reflect actual circumstances

Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability, compensability and damages of claims

Determine need for independent adjusters, cause and origin experts and independent medical examiners.

Evaluate claim for potential fraud

Assess actual damages associated with claims and conduct negotiations to settle claims

Thorough knowledge of insurance coverages, contracts & claims handling guidelines.

Ability to analyze variables, such as medical records and legal documentation

Ability to communicate effectively with people from all backgrounds

Negotiation and settlement skills.

Workers Compensation Case Manager February 2012 to February 2013

Liberty Mutual Insurance Company

Reviews and administratively sets-up claims in software tracking system and writes or revise the brief description of loss to ensure that it accurately reflects the actual circumstances.

Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.

Determines and documents, during the investigation process, the potential for subrogation, identifying applicable tort feasors and promptly placing them "on notice" of claim; refers claims to subrogation group upon recognition of potential recovery.

Evaluates claims for potential fraud and makes referrals to the Special Investigations Unit as appropriate.

Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.

Alerts underwriting, marketing and/or risk management regarding questionable risks encountered to ensure that potential hazards are clearly documented.

May coordinate elements of litigation efforts, or assume direct responsibility for select litigation efforts for development purposes, associated with assigned claims to ensure a timely and cost-effective resolution; may attend trails as a company representative.

Participates in the training of, and serves as a technical resource for, less experienced claims personnel.

May participate in conducting Suit Committees, Roundtables, Arbitrations, Mediations and field investigations.

Performs other duties as assigned.

A/R Workers Compensation UW Representative August 2007 to January 2012

Umialik Insurance Company

Underwriting all Assigned Risk Workers Compensation policies including assisting in Standard Market

Maintain positive relationships with Agencies, Insured’s, Finance Companies, Accountants, State of Alaska, and other third parties of interest

Provide new and renewal quotes, issues and endorsements for Workers Compensation

Process multiple cancellations and reinstatements on a daily basis

Order and review inspections and preliminary physical audits

Request and verify a range of information while checking NCCI and the State of Alaska website

Review class codes and payroll estimates for accuracy before processing the policy and endorsements

Assist customers with questions and payments over the phone and in person while entering routine data entry

Contact this candidate