Customer Service Sales
Resume:
ELLEN ELLIOTT-APPLEGATE
**** *. ****** **** *******, AZ 85032 • abhod2@r.postjobfree.com
Extensive sales, claims and managerial experience, including healthcare, medical terminology and multi-state
workers’ compensation laws. Excellent customer service skills and written and oral communication skills.
PROFESSIONAL EXPERIENCE
Western International Recruiters, Mesa, AZ
2011
Temporary Workers’ Compensation Adjuster
• Auto Owners Insurance temporary assignment.
• Adjusted caseload of 500 indemnity and medical only claims from cradle to grave.
ACE/ESIS, Chatsworth, CA 2009 – 2010
Senior Claims Representative
• Adjust large loss and litigated CA School Board takeover workers’ compensation claims.
• Meet with clients bi-weekly to review claims for reserve adjustment and settlement postures.
• Follow all Best Practices guidelines in adjusting, reserving, negotiating and settling liens, and settling CA
workers’ compensation claims. Position Eliminated 3/1/10
PMSI Settlement Solutions, Inc., Phoenix, AZ, Denver, CO, & Los Angeles, CA 2008 – 2009
Regional Account Representative
• Sold Medicare Set Aside related products to insurance carriers, TPAs and self-insured clients in AZ, CA,
CO, NV, and NM.
• Conducted seminars on Medicare allocation and reporting requirements to decision makers and adjusters.
• Captured and tracked sales leads to assist marketing representatives in other geographic territories.
• Laid-off when employer downsized.
GENEX Services, Inc., Phoenix, AZ 2007 – 2008
Arizona Branch Manager for Case Management, MSA’s and Life Care Plans
• Hired, trained and managed line and support staff, including 18 nurse field case managers in AZ, CO,
NM, UT, MT & WY.
• Gathered and analyzed data and prepared reports to identify behavioral trends and developed and
implemented plans to improve individual and group performance.
• Developed and administered regional budget and was responsible for monthly productivity, profit and
loss.
• Laid-off when employer downsized.
Gallagher Basset Services, Scottsdale, AZ and Denver, CO 2005 – 2007
Senior Workers’ Compensation Examiner
• Adjusted worker’s compensation claims for 18 national self-insured accounts, including Eastman Kodak,
Continental Airlines, Life Touch Portrait Studios, Commonwealth Electric, and Manpower Temporary
Services.
• Developed and managed integrated teams of attorneys, brokers, nurses, and physicians to successfully
evaluate and resolve claims expeditiously and at cost savings to client accounts.
• Set reserves, conduct claim reviews, maintain daily client contact, complete investigations, make
compensability determinations, and make settlement decisions.
• Resigned to accept management position with GENEX Services, Inc.
Heffernan Insurance Brokers, Walnut Creek, CA 2003 – 2005
Senior Claims Consultant
• Managed and oversaw workers’ compensation claims for 35 brokerage clients.
• Acted as liaison between clients and insurance carriers to ensure successful outcome of claims.
• Monitored reserves, return-to-work programs, and California labor code compliance and conducted
quarterly claim reviews with clients.
• Resigned when spouse was transferred to Phoenix.
EDUCATION
St. John’s University, Jamaica, NY
Bachelor of Science – Communication Arts and Marketing
Grand Canyon University, Phoenix, AZ
Master of Science – Professional Counseling – Expected completion 2012
LICENSES
California Self-Insured Certification
Florida Adjuster License
Utah Adjuster License
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