Customer Service Workers Compensation
Resume:
Mary Klabacha
Email: **********@********.***
Address: *** *** **
City: Des Plaines
State: IL
Zip: 60016
Country: USA
Phone: 847-***-****
Skill Level: Management
Salary Range: $80,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
MARY L. KLABACHA
900 Lee Street #503
Des Plaines, Illinois 60016
Home: 847-***-**** Cell: 312-***-****
**********@********.***
EXPERIENCE
CLAIMS SUPERVISOR, 5/2011 - present
AMTRUST NORTH AMERICA (AMTRUST FINANCIAL SERVICES, INC.)
Chicago, Illinois
* Responsible for supervising a workers compensation team of four Claims Analysts and one Claims Assistant.
* Team manages the exposures of a variety of insured clients in state jurisdictions- Illinois, Iowa, Missouri, Minnesota, and Wisconsin.
* Also complete supervisory reviews of claims for another team within voluntary insurance policies, in state jurisdictions- Indiana, Kansas, Kentucky, and Michigan.
* Train, develop and coach team members to provide excellent customer service and achieve performance goals.
* Ensure all corporate vendors perform work within standards.
* Assist other offices with internal claims quality audits.
SENIOR CLAIMS REPRESENTATIVE 3/2011 - 5/2011
GALLAGHER BASSETT
Itasca, Illinois
* Responsible for the creation, reserving, investigation, and disposition of Workers Compensation claims, state of Minnesota.
* Team dedicated to the United Parcel Service account.
* Minnesota Independent Adjuster License- Property/Casualty & Workers Comp.
CLAIMS SUPERVISOR II, 5/2009 - 3/2011
SEDGWICK CMS
Schaumburg, Illinois
* Responsible for supervising a workers compensation team of eight Claims Examiners and one Claims Assistant.
* Team dedicated to managing the exposures of a large national retail client, in an eight state region- Illinois, Indiana, Iowa, Wisconsin, Nebraska, Missouri, Kansas, and South Dakota.
* Review quality and content of client reserve advisories, settlement authority requests and round table reports. Participate in telephonic and onsite claims reviews, as well as client training presentations.
* Consistently recognized for comprehensive supervisory claims direction and client customer service.
* Improved client quality audit scores significantly on the team within initial six months.
CLAIMS SUPERVISOR I, 9/2007 - 5/2009
SEDGWICK CMS
Chicago, Illinois
* Responsible for supervising a workers compensation team of seven Claims Examiners.
* Twenty national commercial accounts with complex and client tailored service instructions.
SENIOR CLAIMS REPRESENTATIVE, 9/1998 - 9/2007
ESIS (subsidiary of ACE USA)
Chicago, Illinois
* Responsible for workers compensation claims management for Illinois and Wisconsin.
* Assigned to major commercial accounts with complex and demanding insurance programs.
MARY L. KLABACHA, Page Two
* Consistently recognized for superior claims servicing.
* Assist with training of team members in technical and claims quality areas.
* Conduct quarterly claims reviews.
SENIOR CLAIMS EXAMINER, 1/1997 -8/1998
BALLY TOTAL FITNESS CORPORATION
Chicago, Illinois
* Responsible for supervising the work product of Bally's workers compensation carriers in all states, with particular emphasis on California claims.
* Developed special claims handling instructions and a formal Early Return to Work Program.
* Conduct quarterly claims reviews with claims, loss prevention and operational personnel.
* In addition to workers compensation carriers management, directly handle large exposure general liability litigation files for Bally's self-insured/administered program, in the states of California, Florida and New York.
CLAIMS ANALYST, 12/1995 - 12/1996
HOBBS GROUP, INC. (insurance brokerage subsidiary of Arkwright Mutual Insurance Co.) Schaumburg, Illinois
* Responsible for servicing all Midwest Region large accounts, in addition to customers throughout the United States. Property/Casualty Claims Technical Advisor to customers while serving in a liaison capacity with their insurance carriers or TPA's.
* Perform quarterly claims reviews as well as workers compensation retro-rated audits to control loss reserves. Verify NCCI experience mod worksheet calculations. Assist in correcting discrepancies and loss reserve reductions.
* Analyze carrier loss runs and provide formal statistical analysis reporting. Monitor multi-line, large exposure claims. Work closely with carrier claims management.
* Assist Sales/Marketing in prospecting, renewal presentations and ongoing service meetings.
* Help design, implement and monitor Risk Management Programs for those accounts without insurance/risk management personnel, or as contracted for.
* Prepare extensive reports, relative to claims reviews, special projects, and carrier audits. Also formal customer manuals - Claims Reporting, Early Return to Work Programs, Supervisory Training.
CLAIMS SUPERVISOR, 7/1992 - 11/1995
MARRIOTT INTERNATIONAL CORPORATION
Rosemont, Illinois
* Responsible for supervising six technical and one administrative personnel.
* Complex multi-line unit covering all Workers Compensation and General Liability losses in a five state region - Illinois, Iowa, Minnesota, Nebraska and Wisconsin.
* Developed comprehensive training manual to ensure compliance with state technical requirements and self-insured responsibilities. Also internal policy and procedure involvement.
* Performed service calls and training presentations for all divisions of the company.
* Direct oversight on high exposure litigation.
* Ensured that internal nursing and outside defense counsel work met corporate standards.
CLAIMS ADJUSTER, 9/1991 - 7/1992
MARRIOTT INTERNATIONAL CORPORATION
* Investigated and handled Workers Compensation and General Liability losses in an eight state region - Illinois, Iowa, Indiana, Michigan, Minnesota, Missouri, Ohio and Wisconsin.
MARY L. KLABACHA, Page Three
SENIOR CLAIMS ADJUSTER, 3/1986 - 9/1991
LIBERTY MUTUAL INSURANCE COMPANY
Buffalo Grove, Illinois
* Responsible for the creation, reserving, investigation, and disposition of Workers Compensation, General Liability, and Auto Liability claims.
* Assigned to the United Parcel Service account and successfully adjusted their claims for three years, in addition to other major commercial accounts. Also handled personal lines.
* Administered and attended Summer Pretrial Programs, A.D.R., and other litigation settlement forums.
* Assigned to oversee all workers compensation subrogation for Liberty's four Chicagoland offices.
EDUCATION
INDIANA UNIVERSITY SCHOOL OF BUSINESS, 1985
Bloomington, Indiana
Majored in Business Administration with a minor in Marketing.
CARMEL HIGH SCHOOL, 1981
Carmel, Indiana
Studies pertained to a college prep curriculum.
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