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Workers Compensation Team Lead

Location:
Chicago, IL, 60602
Salary:
85000
Posted:
November 11, 2023

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Resume:

Marrell Stewart

**** ******* ****** *********: 217-***-****

Bellwood, IL 60104 ad02ad@r.postjobfree.com

EDUCATION UNIVERSITY OF ILLINOIS AT CHICAGO

Bachelor of Arts (Political Science), December 2009

Major G.P.A. 3.4/4.0, Cumulative G.P.A. 3.2/4.0

Texas Adjuster License, December 2020

Workman Compensation Auto Claims Home Owners Policy Liability Coverages

OLIVET COLLEGE

Certified Authority of Workers Compensation, April 2014

Ethics Fundaments of WC Alternative WC Programs

Loss Control US Long Shore and Harbor Act Return to Work Programs

Fraud Experience Ratings and Modifications WC Classifications

SEDGWICK TEAM LEAD TECHNICAL TRANSITIONAL PROGRAM, May 2023

THE INSTITUTES

Program in Supervisory Management (Material Studied for Transition)

The role of the supervisor Making the transition into supervision

Motivation Leadership

Understanding Others

RELEVANT Sedgwick, Schaumburg, IL

EXPERIENCE Senior Claims Examiner (August 2016-Present)

● Responsible for the creation, reserving, investigation, and disposition of Workers Compensation

claims of the states of IL, IN, TN, MN, MI, KS, MO, NE, WI, IA, KS, KY, MS, TX, GA.

● Investigates and Handle moderate to complex Workers Compensation Lost Time and Indemnity claims from inception to closure this includes catastrophic claims with reserves of $500,000-$2 million

● Manages attorney represented and litigated files as required

● Interview and obtain information, plus investigating claims to bring them to conclusion

● Dedicated Federal Express Account

● Lead in training new hires and employees on academic probation or with quality issues.

● Handles subrogation and Medicare compliance

● Handles Catastrophic claims

● Supervisor has been actively coaching to prepare for a leadership role.

UNITED FIRE GROUP, Cedar Rapids, IA

Senior Field Claims Representative (August 2014-May 2016)

● Responsible for the creation, reserving, investigation, and disposition of Workers Compensation

claims of the states of Illinois, Tennessee, Indiana, and Kentucky (Back Up states- Iowa, Nebraska,

South Dakota, Colorado)

● Investigated and handled moderate to complex Workers Compensation Loss Time and Indemnity

claims from inception to closure this includes catastrophic claims with reserves of $500,000-$1

million

● Managed attorney represented, and litigated files as required

● Interviewed and obtain information, plus investigating claims to bring them to conclusion

● Managed accounts with premiums of $100,000-$2 million

● Services 10+ clients and assisted with problem resolution and customer satisfaction

HEARTLAND INSURANCE, Itasca, IL

Claims Representative (January, 2010- August 2014)

● Responsible for the creation, reserving, investigation, and disposition of Workers Compensation

claims of the states of Illinois, Tennessee, and Indiana. (Back up Wisconsin, Missouri)

● Investigated and handled moderate to complex Workers Compensation Loss Time and Indemnity

claims from inception to closure

● Managed attorney represented, and litigated files as required

● Interviewed and obtain information, plus investigating claims to bring them to conclusion

●Managed accounts with premiums of $100,000-$2 million

● Services 10+ clients and assisted with problem resolution and customer satisfaction.

● Assisted in training new hires.

● Handled Subrogation, General Liability Claims

● Medicare compliance

BLUE CROSS BLUE SHIELD OF ILLINOIS, Champaign, IL

Benefits Customer Service Representative/Medical Claims Processor (2000-2004)

● Promoted from a Medical Claims Processor after 1 year

● Researched and responded to telephone and written inquiries of explanation of benefits

● Experienced with Medicare, Medicaid, Veteran claims

● Knowledge of HCFA forms, CPT Codes, and ICD 9 Procedure codes

● Managed and read written inquiries in a prompt, accurate and objective manner

● Read and interpreted contractual language and utilizes all acceptable terminal screens

● Gathered documents, copies, claim history data, canceled checks, and on-line status

FLEX-N-GATE CORPORATION, Urbana, IL

Safety Assistant/Workman Compensation Claims Manager (1998-2000)

● Assisted the Plant Manager with necessary projects

● Managed the ordering and forecasting the materials needed for daily production

● Handled daily quotas, attendance, daily production needs, and other projects

● Produced necessary charts and graphs using Microsoft Excel

● Safety training for new hire and yearly evaluation for employees

● Coordinated return to work program for injured workers

● Prioritized safety procedure throughout the plant floor

● Handled workers compensation claims

● Managed a team of 2 in Safety and Workman Compensation duties

● Gathered data for OSHA reporting

● Reviewed injury report data in effort to work toward the prevention of future work injuries

Other Employment

Champaign-Urbana Mass Transit (2006-2007), Cerion Technologies (1997-1998)

AMERICAN GREETINGS CORPORATION, (1994-1997)

HONORS Phi Theta Kappa Honors Society Dean’s List

3 to 4.0 Club Youth Mentor Martin Luther King Jr. Scholarship Math Contest Volunteer

Black Scholars Recipient Nominee for the National Dean’s list

PUBLICATIONS The Depth of Corruption in Illinois: Anti-Corruption Report Number 2 (May 13,2009) authored by Dick Simpson, Thomas Gradel and Andris Zimelis.



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