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Sr. Claims Adjuster

Location:
Newport News, VA, 23603
Salary:
$50k
Posted:
October 17, 2010

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Resume:

FLOR V. ROSARIO

*** ***** *** **. *** Fl. South

Wallingford, CT 06457

203-***-****

Email address: u29mu1@r.postjobfree.com

Is looking to relocate to Virginia, due to impending marriage. I seek for opportunities within the, workers compensation field, either with the insurance or healthcare industries. Also willing to train and accept challenges in other industries.

QUALIFICATIONS

2002-Present

Connecticut Healthcare Workers Compensation Trust-Wallingford, CT

Senior Claims Adjuster-Overseer of accounts in healthcare industry.

Duties include: Investigating claims, adjusting claims from inception to

end;. process applicable benefits for lost time and medical expenses.

Reserving files appropriately, settling claims when appropriate.

Direct communications with insured’s, claimants, attorneys, medical

Providers as well as medical vendors, agencies, worker’s compensation

commission offices. I work independently and utilize supervisory assistant

for purpose of authorization and guidance of complex cases beyond my

level of authority.

The majority of the claims handling aspect, is handled via the computer,

as well as, the telephone. Handle high volume calls.

1989-2002

The MacDonald Companies, Inc.-Hamden, CT

Claims Adjuster-Handled On-Track Accident Insurance Program

(Occupational accident insurance), Interstate Realty Mgmt (General Liab),

Penn Miller Mutual (Workers compensation)

Prior accounts handled in the same company to include:

SIR division Rite Aid Pharmacy (General Liability)

Risk Management Division (Ames Dept Stores/General liability)

Workers’ Compensation Claims (Misc. and State of CT)

EDUCATION

Pontiac High School- Pontiac, Michigan High School Graduate

Class of 1982

Rockmont College-Denver, Co. (1 Year) Business and Art

RELEVANT EXPERIENCE, TRAINING/SEMINARS

Motion practice in New York State Summary Judgements

Product Liability in CT Self Insurance

Reviewing Medical records Initial Investigation

CT Workers Compensation Insurance Fraud

Private Investigations Tort Reform in CT

Maryland Laws Updated WC laws

How to be Organized Time Management

Conflict Skills for women

OTHER EXPERIENCE

Bilingual (Spanish and English) speak and write them both

Utilizing bilingual skills to provide clients and customers with

an added service in areas needed. I have also been studying and getting educated in the

Virginia Workers Compensation Laws.

I have an all-lines casualty adjuster license

Current salary: $49k yearly

Willing to train in other areas as deemed necessary.

REFERENCES AVAILABLE UPON REQUEST



Contact this candidate