Workers' Compensation Claims Resolution Manager
Resume:
Michelle Welch-Costanzo
Seffner, FL 33584
**************@*****.***
EDUCATION AND LICENSES:
Florida Metropolitan University-Tampa, FL, Associate in Medical Assisting – 1996
Florida Department of Insurance Workers’ Compensation Licensed in MS, TN, SC, AL, NC,
All Lines Adjuster – 1996 GA and LA
State of Florida Notary Public
PROFESSIONAL EXPERIENCE:
Gallagher Bassett Services 10/12 to Present
Tampa, FL
WORKERS’ COMPENSATION SENIOR CLAIMS RESOLUTION MANAGER
Investigate, evaluate, negotiate and adjudicate highly complex claims for Florida, South Carolina, North Carolina, Mississippi, Louisiana and Tennessee. Work closely with attorneys, attend mediations, depositions, hearings and manage injured worker’s medical care. Support renewal of existing business through the delivery of superior claim service.
SeaBright Insurance Company 7/05 to 11/11
Tampa, FL
WORKERS’ COMPENSATION SENIOR CLAIMS EXAMINER
Investigate, evaluate, negotiate and adjudicate highly complex, State Act and Collectively Bargained Workers’ Compensation claims. Work closely with attorneys, attend mediations, depositions, hearings and manage injured worker’s medical care. Promote premium growth by attending marketing presentations with prospective customers. Participate in presentations to producers and customers demonstrating SeaBright claim service. Support renewal of existing business through the delivery of superior claim service.
Amerisure Insurance Company 2/02 to 6/05
St. Petersburg, FL
WORKERS’ COMPENSATION SENIOR CLAIMS ADJUSTER
Investigate, evaluate, negotiate and settle a heavy caseload of lost time and litigated claim files, including expertise in Collective Bargaining claims. Work closely with attorneys, attend mediations, depositions, hearings and manage injured worker’s medical care. Dedicated to a $17 million Agency and frequently travel to visit accounts for claim reviews and personal one on one customer service.
Chubb Group of Insurance Companies 12/00 to 1/02
Tampa, FL
WORKERS COMPENSATION CORE EXAMINER
Investigate, evaluate, negotiate and settle a heavy caseload of lost time and litigated claim files. Work closely with attorneys, attend mediations, depositions, hearings and manage injured worker’s medical care.
Federated Mutual Insurance Company 9/86 to 12/00
Tampa, FL
5/96 to 12/00 - WORKERS’ COMPENSATION CLAIMS ADJUSTER
Investigate, evaluate, negotiate and settle a heavy caseload of lost time and litigated claim files. Work closely with attorneys, attend mediations, depositions, hearings and manage injured worker’s medical care.
9/86 to 5/96 – HEALTH CLAIMS COORDINATOR/SUPERVISOR
Supervise, assist and train Health Benefits Specialists and Heal Claims Assistants in the handling of health claims to ensure prompt, accurate and courteous claims service to certificate holders, policy holders and medical providers. Handle technical claims work including authorization requests, quality and service reviews and eligibility investigations. Coordinate peer review, medical case management and cost management programs.
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