Litigation Claims Manager

Catherine Stanton

**** ********** ****, *** **** Richey, Florida 34653

Phone: 727-***-**** E-Mail: ***********@*****.***

Summary

Highly motivated individual with a strong background in insurance. Employs a high level of negotiation skills to bring claims to resolution. Experienced in developing customer training.

Highlights

Strong interpersonal and communication skills.

Decisive, self directed, analytical thinker and problem solver.

Strong medical background, A.A.S. Registered Nurse.

Sales and marketing skills.

Accomplishments

Promoted to claims examiner, co-facilitator examiner round table and Co-instructor staged accidents, PIP Fraud class and Artificial Disc Replacement.

Selected as mentor of the quarter.

Member Arbitration, Claims Severity and Batch Mediation Teams.

Top sales producer.

Consistently rated as exceeds to far exceeds expectations.

Experience

Litigation Claims Manager

Lancet Indemnity, RRG Inc., Tampa, Florida (November 2015 to March 2018)

Manages medical malpractice claims to include review of all medical records and completion of medical chronological report.

Responsible for confirmation of coverage’s, investigation, evaluation, direct settlement and supervision of defense counsel.

Casualty Claims Examiner: 620 Adjusters License

USAA Tampa, Florida (April 23, 2002 to January 3, 2015)

Casualty Claims Adjuster

USAA Tampa, Florida (June 1999 to March 2002)

Investigate, evaluate and settle automobile and property liability claims involving severe or long term or third party injury and auto physical damage claims in accordance with the terms and conditions of the policy contract applicable to the liability facts and damages.

Mentor and train incoming adjusters and examiners.

Prepare files for litigation and attend mediations.

Multi-lines Claims Representative, Medical Claims Coordinator

SAFECO American States Fairport, New York (Jan 1998 to June 1999)

Investigate, evaluate and negotiate large commercial corporate accounts to include McDonalds’s and interstate claims.

Directed litigation files.

Member CAT team.

Monitor claims for potential fraud.

Handle and monitor PIP claims.

Medical liaison, evaluate medical relevancy of treatment and confer with treating physician.

File arbitration.

Agent-Sales and Marketing

SAFECO American States Fairport, New York (August 1996 to June 1999)

Front line underwriter evaluated sales leads for market placement.

Utilized consultative sales approach.

Top sales producer, consistently overachieved in all required areas of lead management.

Recognized as top leader in personal contact with prospective clients. Qualified for top sales award trip, 105% target.

Lead management trainer. Developed lead management training manual and system for all incoming sales producers to efficiently work incoming leads.

Registered Nurse

Kings Park Hospital Kings Park, New York (May 1981 to March 1985)

Registered Nurse. Supervisor, overseeing entire staff functioning.

Responsible for the assessment, diagnosis, planning, intervention and evaluation of patient’s medical needs.

Coordinated all aspects of patient care. Duties included: Venipuncture, transcription of physician’s orders, and administration of oral and intramuscular medications.

Treatment team leader for group and individual counseling.

Formulated and implemented treatment team plans for all patients.

Trained new RN’s, LPN’s and Nurses Aides.

Registered Nurse

In Hospital Per Diem New York (May 1979 to May 1981)

Responsible for the complete one on one care of in hospital and home health care patients.

Rehabilitation of patients by coordination and implementation of home therapies to cerebral vascular, oncological and orthopedic patients.

Administer medications and therapies as prescribed.

Education

Farmingdale University Farmingdale, New York A.A.S Registered Nurse

St. Joseph's College Patchogue, New York B.S Community Health and Human Services GPA 3.61

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