SHARICE P. GADDY

***** **** ****** ******, ********, VA 20176 571-***-**** ac95ih@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Dedicated administrative professional, offering over 20 years of work experience with a background in administration, compensation and management. In-depth knowledge of analytic and management practices. Excellent communication, critical thinking and research skills.

EXPERIENCE

CLAIMS SUPERVISOR CORVEL CORPORATION 2011 - 2019

Responsible for daily the operations of the designated departments, that includes but not limited to human resources, customer service, and sales management.

Prepare daily, weekly, and monthly reviews pertaining to various reports such as claims, payroll and terminations.

Manage 10 employees within company Fairfax & Richmond offices.

Manage payroll and time management of direct reports and other departments as needed.

Process direct reports and other team member’s payroll, leave and other HR requests.

Responsible for other human resources matters that are directly related to department such as employee relations, recruitment and benefits by maintaining a high level of confidentiality.

Maintain employee’s personnel files.

Coordinate on/off board of new hires, timekeeping, vacation scheduling, mid-year reviews and position (i.e. internal and external) transfers, and employment verifications.

Oversee case management, marketing and sales activities.

Maintain team workflow to ensure deadlines are met in a timely and efficient manner.

Serve as liaison for department and clients.

Ensure compliance and safety requirements are met to protect employees and customers.

CLAIMS SPECIALIST

Managed low-level and non-complex workers’ compensation claims within the appropriate delegated limited authority.

Reviewed incoming claims and ensured validity in order to compensate claims accordingly.

Processed and approved claim payments within reserved limits.

Worked within human resources as a backup in payroll during vacations and sick leave and assisted with entering employee time.

Communicated claim status with customer, claimant and client daily to avoid gaps in deadlines.

Adhered to client and carrier guidelines.

Participated in claims reviews as needed.

Assisted other claims professionals with more complex claims as needed.

Complied to safety rules and regulations in conjunction with the Injury and Illness Prevention Program (IIPP).

STAFFING AGENCY 2009-2011

Assigned to various job duties unrelated to worker’s compensation.

ACCOUNT MANAGER, BUSINESS INSURANCE ST. PAUL TRAVELERS GROUP 1996-2009

Reported directly to the Operations Manager and Director.

Collaborated with the AE to assist with gathering data, quotes, and issuances to obtain new clients and/or renewals.

Completed and advanced processes in regards to new businesses and renewals by following company’s best practices.

Worked closed with business centers to ensure the processing and services of customer’s accounts in an accurate and timely manner.

Researched and resolved issues in order to respond to internal/external customer’s inquiries and questions.

Provided information for regulatory compliance (i.e., statutory filings, proof of insurance, and certificates).

Identified agency training needs and communicated with Agency Automation Executive and/or Sales Executive to deliver necessary training.

Participated in projects and/or assignments as needed.

SENIOR ADMINISTRATIVE ASSISTANT BUSINESS INSURANCE

Provided complex administrative support to senior management.

Utilized proactive and critical thinking skills to make executive decisions on behalf of senior management in their absence.

Served as back up manager to other administrative support as needed to ensure day-to-day tasks were completed in a timely manner and provided assistance as needed.

Coordinated distribution of department-wide mass communications when needed.

Assisted in the development and implementation of departmental/business unit guidelines to ensure policies and procedures were followed.

Maintained senior management team calendars and scheduled complex meetings internally and externally.

Prepared and submitted travel and expense reports.

Managed, tracked, reported expenses for senior management and the organization.

Assisted with the preparation of budget reports for senior management as needed.

INVESTIGATIVE CASE MGR WORKERS' COMPENSATION

Investigated lost time claims, and determined compensability, in order to ensure customers legal rights to pay or deny the claim.

Conducted initial investigation of lost time claims to resolve compensability, coverage and offset issues on new notices.

Retained and managed assigned claims to conclusion in case of converted and/or coverage was unconfirmed.

Referred claims to Unit Manager when non-controverted and coverage were confirmed.

Conducted complete investigation of uncertain claims, which included a timely 3-point (i.e. insured, injured worker and doctor) contact.

Implemented litigation strategy with Hearing Representative and/or Defense Counsel pertaining to litigated claims.

CLAIMS ANALYST AUTO UNIT

Followed up with insured and claimant within the same day of initiated claim.

Received accurate claim facts and statements from all of the participants involved.

Responsible for bodily injury and LR files.

Investigated claims for coverage; determined liability; identified subrogation opportunities and assisted subrogation to obtain information to process claimant information accurately.

Coordinated rental cars as needed.

Managed payouts of claims and responsible for reversing overpayments in case of errors.

Accurately documented files according to the company’s Best Practices.

Utilized diary system.

CLAIMS ANALYST WORKERS COMPENSATION

Responsible for the close mail and review of medical reports.

Utilized diary system.

Assisted management team with special projects as needed.

Answered customer inquiries.

Submitted paperwork to the VA and DC Commissions as needed.

Maintained subrogation files up until closure in order to release and pay customer’s medical bills.

Pulled ‘Notice of Loss Roster’ to ensure claims was assigned to the appropriate units per TravComp.

Coordinated coverage issues and assisted in claim tours.

Participated in quarterly file reviews.

ADMINISTRATIVE ASSISTANT

Provided support to the Vice President of Office Information Systems.

Prepared presentations on behalf of the Vice President.

Met with Vice President daily to discuss the daily and weekly activities of the office and department to ensure accuracy of all upcoming projects and/or tasks.

Maintained Vice President, CIO, and two other Vice President’s and their direct reports calendars.

Scheduled meetings, arranged travel, prepared reports, maintained and ordered supplies.

Assisted on special projects as needed.

Maintained confidential personnel files of the entire Office Information Systems department (approximately 200 employees).

Responded to communication on behalf of the Vice President.

EXECUTIVE ASSISTANT

Prepared customer service related documents on behalf of Vice President and eighteen staff members.

Provided direct support to the Vice President and served as her liaison in her absence.

Scheduled meetings, arranged travel, prepared expense reports, maintained and ordered supplies.

Maintained employee’s confidential files and their timecards.

Processed employee’s payroll as a backup for payroll when needed.

Coordinated large events and conferences for Vice President and direct reports.

SKILLS & ABILITIES

Superior communication skills; polished telephone, interpersonal and writing skills. Proven ability to multi-task, manage difficult and high volume data, and work in a fast-paced environment. Dedicated team player and excellent organizational skills.

EDUCATION

WEAVER HIGH SCHOOL HARTFORD, CT GRADUATED 1980

SENIOR CLAIM LAW ASSOCIATE (SCLA) DESIGNATION AMERICAN EDUCATIONAL INSTITUTE, INC.

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