Warren Feagins

312-***-**** Mobile

ac27aa@r.postjobfree.com

SUMMARY OF QUALFICATIONS

Over 5 years of experience identifying, analyzing, troubleshooting, resolving and monitoring customer needs and issues.

Action-oriented professional with experience in the insurance, banking, airline, hospitality, auto, telecommunications industries.

Installed, maintained and troubleshot Teligent Inc.’s Point-To-Point microwave network.

Exceptional skills in communicating, negotiating, building relationships with customers.

Accomplished talents in documenting customer accounts, managing customer expectations.

Experienced in consumer lending/installment lending.

Proven written/oral communications and interpersonal skills with all levels of management.

Accomplished problem solving and analytical skills.

EDUCATION

B.S. Network and Communications Management (In Progress) - DeVry University, Chicago, IL.

PROFESSIONAL EXPERIENCE

TriStar Insurance Group Claims Examiner ll May 2017-August 2017

Effectively managed a case load of 150 to 180 worker’s compensation files, including complex claims.

Initiated and conducted claims investigations in a timely manner.

Determined compensability of claims and administered benefits based upon state law and in accordance with established company guidelines.

Managed medical treatment and medical billing, authorized as appropriate.

Referred cases to outside defense counsel as appropriate. Monitored legal aspects.

Communicated with claimants, providers and vendors regarding claims issues.

Computed and set reserves within company guidelines.

Settled and/or finalized all claims and obtained authority as designated.

Maintained a diary system for case review and document file to reflect the status and work being performed on the file.

Communicated appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.

Involved TriStar loss control staff when appropriate.

Adhered to all company policies and procedures.

Participated in file reviews as needed.

Other duties as assigned.

Contractor Aon/Committee on Finance City of Chicago Worker’s Compensation Claims Examiner January 2016-April 2016

Received claims and acknowledged the claim.

Determined validity and compensability of the claim by investigating and gathering information regarding the claim.

Established reserves and authorized payments within reserving authority limits.

Developed and managed well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim.

Coordinated early return-to-work efforts with the case manager and employer.

Managed potential claim recoveries of all types

Communicated claim status with the customer and claimant.

Contractor Berkley Risk Worker’s Compensation Examiner May 2015-January 2016

Properly investigated and handled all types of workers' compensation files with a 150 case load including lost time, litigation and long term exposure within predetermined claim-handling guidelines.

Initiated return-to-work discussions with the employer and effected return-to-work for the injured worker.

Established timely and appropriate case reserves

Investigated and managed subrogation and negotiated settlements.

Used automated diary system to issue indemnity benefits and provided claim management.

Accurately calculated and payed wage loss and other benefits.

Assigned rehabilitation and monitored costs and outcomes.

Documented all action plans and evaluations for claim resolution.

Maintained organized electronic files.

Interacted with clients to establish/improve communication and service capabilities.

Interacted and communicated with state agencies, attorneys and other providers.

Addressed customer complaints and inquiries in an exemplary and professional manner.

Achieved specific performance outcomes related to quality and quantity of work as established by management.

Provided cost containment for individual claim and overall claim costs for account to achieve account profitability.

Approved medical and rehabilitation payments for check entry staff or define medical and rehabilitation payment parameters for WC Claim Technicians per office procedure.

Conducted in person claim reviews when scheduled or requested.

Performed the duties noted in the position descriptions in accordance with the BRAC Claim Handling Guidelines - Workers' Compensation reviews.

Contractor TriStar Insurance Group Claims Examiner ll March 2015-May 2015

Effectively managed a case load of 150 to 180 worker’s compensation files, including complex claims.

Initiated and conducted claims investigations in a timely manner.

Determined compensability of claims and administered benefits based upon state law and in accordance with established company guidelines.

Managed medical treatment and medical billing, authorized as appropriate.

Referred cases to outside defense counsel as appropriate. Monitored legal aspects.

Communicated with claimants, providers and vendors regarding claims issues.

Computed and set reserves within company guidelines.

Settled and/or finalized all claims and obtained authority as designated.

Maintained a diary system for case review and document file to reflect the status and work being performed on the file.

Communicated appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.

Involved TriStar loss control staff when appropriate.

Adhered to all company policies and procedures.

Participated in file reviews as needed.

Other duties as assigned.

Sedgwick Claims Representative 2013-2015

Managed workers compensation claims with a 200 case load and determined compensability and benefits due on long term indemnity claims, monitored reserve accuracy, and filed necessary documentation with state agency.

Developed and managed workers compensation claims’ action plans to resolution, coordinated return to work efforts, and approved claim payments.

Approved and processed assigned disability claims, determined benefits due and manages action plans pursuant to the disability or claim contract.

Managed subrogation of claims and negotiated settlements.

Communicated claim action with claimant and client.

Ensured claim files are properly documented and claims coding is correct.

Processed complex lifetime medical and/or defined period medical claims which include state and physician fillings and decided on appropriate treatments recommended by utilization review

Maintained professional client relationships.

Enova Application Support Representative 2011- 2012

Received company recognition for outstanding performance.

Assisted department in meeting daily goals and demands by offering additional assistance beyond current responsibilities.

Collaborated with team to analyze and resolve customer loan issues.

Utilized sound judgment in escalating customer issues to various departments.

Documented customer updates, process payments, adjust fees.

Experience with MS word and Excel

Increased business by consistently exceeding monthly sales goals by 75%.

PJ Clarks Host 2009 –2010

Greeted guests with outstanding customer service.

Coordinated and managed the seating of customers.

Improved customers’ experience by quickly addressing and resolving complaints and issues.

United Airlines Reservations Sales Agent & Operations Assistant 2005- 2009

Reservations Sales Agent

Reduced customer cost by researching and providing the lowest cost fare options.

Improved customer experience by employing best practices.

Trained and mentored new agents.

Assisted TTY (Hearing Impaired) customers.

Operations Assistant

Managed and monitored inbound call volume.

Oversaw employee adherence to work schedule.

Reviewed and performed employee shift trades.

Adjusted, approved, tracked, recorded, and communicated to employees payroll decisions related to time and attendance.

Scheduled team members’ overtime hours.

Managed activity of the call center in the absence of a Department Manager.

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