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Insurance Quality Assurance

Location:
Merced, CA
Salary:
$80,000
Posted:
July 01, 2013

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Resume:

**** ******* ** ****/**** PHONE

MERCED CA ***** 209-***-****

C H E R Y L A. M A T T O X

Objective Obtain A Professional Position That Will Prove Both

Challenging and Rewarding.

Professional March 2011 - Present FARMERS INSURANCE

Experience COMMERCIAL SPECIALTY CLAIMS REPRESENTATIVE -

EMPLOYMENT LAW PRACTICES LIABILITY INSURANCE AND

GENERAL LIABILITY

Commercial Employment Law Practices Liability Claims

- CRN/HEART Systems - Extensive confidential claim

handling of Employment Law and ADA claims. Lease

review, strong negotiations skills, contract review,

policy review with insured/clients, interpret

policies and negotiate settlements. In-depth

handling of confidential Employment Practices

Liability Insurance claims - sexual harassment,

discrimination, wrongful termination claims and

legal contract negotiations, legal contract

interpretation, legal contract research, medical

billing, and Medicare liens. Subpoena and review

all medical records. Review insurance policies and

safety procedures with insured for adequate

insurance for insured's needs. Work with Third

Party Administrator resolving all employment claims.

Review of all policy limits with insured to insure

adequate financial coverage. Attend and negotiate

mediations with Defense Counsel, participation and

attendance at trials. Work Comp claims experience.

Jan 2004 - March 2011

FARMERS INSURANCE / ZURICH NORTH AMERICA

ADMINISTRATIVE MANAGER - LEGAL OFFICE ADMINISTRATOR

Management and daily operations of two in-house

legal counsel operations (Sacramento & Fresno)

handling all supervision of paralegal and litigation

secretarial aspects of liability, property,

construction defect, commercial and workers'

compensation litigated claims.

Paralegal and Sr. Litigation Secretary to Managing

Attorney. Draft interrogatories, maintain and

calendar discovery diaries and deadlines, review and

analyze documents for production; prepare deposition

summaries, organize, summarize and analyze medical

records, conduct legal research, analyze issues and

create legal research memos. Prepare and serve

Answer packets. Assist in all trial preparations,

jury instructions, exhibits, trial binders and

research.

Direct supervision 15 Support Staff and assist

Managing Attorney with 22 Attorneys, and 8

Paralegals.

IT System Administrator of local LAN and personal

laptops/desktops, including all hardware and

software and in-house training.

Administrator of $20.5 million budget - SAP,

preparation, coordination updates and maintenance.

Administrator of confidential Human Resource issues.

Includes hiring, training, termination, disciplinary

action, salary increases, promotions, yearly

performance plans, right-size matrix process,

payroll, timecards and benefits package.

Administrator of Accounts Payable/Receivable, $50K

Trust Account, monthly billing process,

reconciliation and analytical accounting financial

reports - Excel.

Implement, review and verify all analytical

operational office reports for month end and cost

per file maintenance.

Administrator of company supplies, office furniture,

fleet vehicles, office lease plans, office

build-outs restructuring projects, quality assurance

compliance, Department of Insurance compliance.

Administrator of case management legal office

program, legal documents and calendaring system -

Prolaw, CaseOne, Access.

Administrator of fleet contracts, vendor contracts

and legal associations.

2000 - 2004 FARMERS INSURANCE

ADMINISTRATIVE CLAIMS STAFF SPECIALIST

Personal Staff Specialist to the Regional Claims

Manager - Pleasanton Region - Administrative

Management support of 14 Northern California Claims

Offices, including HR training and all confidential

process issues, Department of Insurance complaints,

coordinating all renovations of claims offices,

reports, and special projects. CRN Super-user

Trainer.

Administration and review of each individual Claims

Office budget - SAP.

Administration of Regional Claims Fleet Vehicles.

Audit Claims Files for proper procedures and

protocol.

1985 - 2000 FARMERS INSURANCE GROUP OF COMPANIES

PROPERTY CLAIMS REPRESENTATIVE

Adjust Property Claims - Fresno/Clovis Territory -

Beginning to End Process. Receive assignments,

contact/set up appointment with insured/clients.

Review assigned claim and policy with

insured/clients, estimate all property damage and

stolen contents using on-line property programs.

Interpret policies and settlements. Xactimate and

VIA programs. Acting Branch Claims Supervisor due

to vacation/illnesses/special projects.

Education 1984 - Merced High School, Diploma, Merced CA

1999-Bachelor of Science Degree - Business

Administration

California Coast University, Santa Ana CA

Currently Enrolled - Masters Program - Business

Administration

California Coast University, Santa Ana CA -

Graduation 2013

Technical Skills

WINDOWS 2000, PROFESSIONAL, XP, N/T, 98, 95

MICROSOFT OFFICE 2003/2007- WORD, EXCEL, OUTLOOK,

ACCESS, POWERPOINT

PROLAW - LEGAL OFFICE CASE MANAGEMENT PROGRAM

CASEONE - LEGAL OFFICE CASE MANAGEMENT PROGRAM

SAP - BUDGET

CRN - CLAIMS PAPERLESS SYSTEM

HEART - CLAIMS PAPERLESS SYSTEM

LEXIS NEXIS

WESTLAW

SYSTEM 36 / AS400

E-FILING SYSTEMS

E-DISCOVERY

XACTIMATE/VIA

WORDPERFECT

LOTUS NOTES - EMAIL COMMUNICATIONS

NATIONAL INSURANCE CRIME BUREAU (NICB) DATABASE

BASIC PROGRAMMING

FARMERS FACTS SYSTEM

FARMERS INTRANET SYSTEM

INTERNET

TYPING 75 WPM

TEN-KEY BY TOUCH

FAX/SCANNER

PBX TELEPHONE SYSTEM

COMPLETION OF LEADERSHIP DEVELOPMENT PROGRAM

COMPLETION OF WHITE BELT SIGMA

References Available Upon Request



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