WC Claims Adjuster

Gloria M. Scott

**** ***** *** *****

Brandon, FL 33511

813-***-****

********@*****.***

SUMMARY OF QUALIFICATIONS

• Over 20 years of Workers’ Compensation Adjusting Experience

• Outstanding Problem Solving and Analysis Techniques

• Extensive Customer Service Experience

• Skilled in Marketing, Negotiations, Presentations and Business Communication

• Highly Detail-Oriented & Organized

• Knowledge of MS Word, Excel and PowerPoint

PROFESSIONAL EXPERIENCE

Senior Workers’ Compensation Claims Examiner Tampa, Florida

Esis/Ace Insurance Company March-August 2014

• Investigated new claims and determine compensability

• Conducted 3 point contact on new claims within 24 hours

• Manage Workers’ Compensation Claims for large high profile accounts

• Service accounts in various industries such as: Temporary Staffing, Aviation,

Municipalities, Healthcare and Construction

• Set appropriate reserves and paid benefits

• Addressed incoming mail on a daily basis

Assistant Director of Operations / Project Manager Tampa, Florida

Aon Risk Consultants 2004 – 2009

• Trained all new employees and helped develop existing employees

• Conducted presentations to both prospect and existing accounts

• Provided claim closing strategies to adjusters

• Prepared monthly progress reports for clients

• Oversaw office day-to-day activities

• Audited multi-juridical workers’ compensation claims

PROFESSIONAL EXPERIENCE CONTINUED

Senior Workers’ Compensation Claims Examiner Tampa, Florida

RskCo Claims Services 2002 – 2004

• Reviewed and followed Special Account Instructions

• Negotiated and settled catastrophic claims, worked with Medicare set-a-side

• Identified claims needing Special Investigation (SIU) and Subrogation

• Prepared status reports for insured, which were delivered electronically, telephonically or

in person

• Created plan of actions that brought claims to a rapid conclusion

Claims Account Coordinator/Senior WC Examiner Tampa, Florida

AIG Group 1987 – 2002

• Trained other claim representatives on how to adjust WC claims

• Served as office Customer Service Trainer within a classroom setting

• Educated clients on how to create light duty programs

• Researched and analyzed data to determine profitability

• Coordinated partnerships between Healthcare providers and employers

• Attended on-site claim reviews to accounts and brokers

EDUCATION

Hillsborough Community College, Tampa, Florida

Associate in Arts Degree

Major: Education

6-20 All Lines Insurance License

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