Workers Comp Auditor / Hearing Rep/ Supervisor

Current Employment

CCMSI Concord CA

Gallagher Basset ‘ Sacramento' CA 94558

Claims Superviso

Claim Supervisor 6/21/2016 through present

Manage, coach and develop Team of 4 Adjusters and 2 CA’s

Provide oversight and direction on all claim related concerns

Oversight and management of reserves

Provide proactive Client and customer service resolutions and direction

Presentation of file reviews to the Insured & Employers

Available for special training assignments and employee development

Prior Employment:

Amtrust North America

6/17/2016 through 7/14/2016: Supervisor

AIG : 10/17/2007 through 6/14/2016

AIG Litigation Senior Hearing Representative

Depositions

Workers’ Compensation Board Appearances; Trials, MSC’s, Expedited Hearings, Status Conferences, Lien Conferences, record and file review recommendations.

Review, analysis and provide settlement guidance.

AIG Global Vendor Service

Global Quality Assurance

Audit for Best Practice Standards National TPA’s and

Reserve Audits

Specialized Audits as directed by underwriting and or Senior Management

Analyze and capture relative data

Direct the creation of reporting packages

Present data to Senior Management and TPA’s.

AIG Claim Technical Manager

Monitor & direct staff

Reserve Analysis Review & Approval

Monitor and direct Plan of Action and file fact presentation and development

Education

Seminars & Workshops: Customer Service, Excessive Rx Application & Affects, WC New Law & Case Studies, Public Speaking, Disability Management, Psychology & the Workplace, Professional Writing, Studies of Mankind, Exploring Alternative Medicine, Effective Communication, Intermediate Accounting & it’s application, IEA workshops, WCCA Certification, WCCP & Self Insurance Administrator License.

Personal Reference: Lori Noriega Litigation Manager, WC – Western Region 510-***-****

Professionl: Lee Blistein WCAB Judge & practicing Defense Attorney 818—995-0080

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Personal Reference: Lori Noriega Litigation Manager, WC – Western Region 510-***-****

Professional: Lee Blistein WCAB Judge & practicing Defense Attorney 818—995-0080

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