Kellie D. Martin
***** ********* ***., ****** ****, CA 90230
I am a Workers’ Compensation Claims Adjuster with an approximate 2-year gap in employment. I was laid off from an organization in 2014 where I would have otherwise been responsible for a substantial hospital account, however, it did not materialize. In 2015 I began volunteering in an office, all the while pursuing jobs. In 2016 I became ill, but am currently in much better health and I am actively getting back into the workforce.
Employment History:
Sprouts Farmers Market / Baker 9/1/16 – present
Los Angeles, CA
Job Duties:
-Responsible for baking of all product, including breads, muffins, pies, cookies and various pastries
CA Claims Management Services / The Ultimate Lien Solution
Torrance, CA 2/24/14 - 8/27/14
ACE/ESIS
Chatsworth, CA 5/13/13 - 12/18/13
Intercare Holdings Insurance Services
Pasadena, CA 11/4/11 - 5/8/13
Graiwer & Kaplan
Los Angeles, CA 12/15/09 - 10/15/11
Sedgwick Claims Management Services
Pasadena, CA 3/1/07 - 12/8/09
Integrated Claims Administrators
Torrance, CA 1/18/05 - 2/25/07
Cambridge Integrated Services
Pasadena, CA 6/1/99 - 1/14/05
Job Duties:
-Intake of new losses, consisting of phone interviews and formulation of an action plan per company protocol and client guidelines
-Calculation and facilitation of benefits and benefit notices
-Timely provision of medical treatment within client’s Medical Provider Network, as well as processing of necessary expenses, all based upon the CA Official Medical Fee Schedule
-Reserve establishment, including a synopsis of current and future costs for an assessment of the projected case exposure
-Satisfaction of outstanding lien matters by way of demand solicitation, negotiation and resolution
-Disability rating of medical reports to determine the level of permanent disability, conceivable return to pre-injury occupation, anticipated future medical care and to place an overall value on the case
-Engaging in routine large-loss reviews with the client to discuss all relevant issues and to reach a cost-effective settlement for all involved parties
-Preparation of files for defense counsel appearing before the Judge at the WCAB, to include all significant documents and exhibits
Skills:
Capable of handling an advanced and varied caseload and providing quality customer service, multi-tasking, excellent communication skills, excel in a team-oriented environment, thorough and consistent, able to meet deadlines and work under pressure, pay close attention to detail, resourceful and a self-starter.
Education and Training:
• CA Self-Insured Certificate / WCCP / Adjuster Designation, as well as Associates Degree in Culinary Arts