Debbie Bandoli

***** *. *** **, **** ***

Phoenix, AZ 85020

585-***-****

Professional Experience:

CCMSI – Scottsdale, AZ

Sr. Workers Comp Adjuster

October 28, 2022, to Present

Responsible for handling complex workers’ compensation indemnity claims and for the City of Phoenix-related claims from inception to close

Managed key client accounts City of Phoenix

Maintained accuracy and oversight of 170+ files, 20% litigated

Handled litigated losses with exposures over $200K

Obtain facts of loss to complete the investigation and appropriately determine compensability.

Utilize company best practices throughout the resolution process.

Gallagher Bassett Services – Scottsdale, AZ

Sr. Workers’ Compensation Claims Resolution Manager

August 2021 to July 29, 2022

Responsible for handling complex workers’ compensation indemnity claims and covid related claims from inception to close

Managed key client accounts including captive accounts with Everest, All Risk Management, and Sky Harbor Food Services.

Maintained accuracy and oversight of 140+ files, 20% litigated

Handled litigated losses with exposures of $500K.

Obtain facts of loss to complete the investigation and appropriately determine compensability.

Utilize company best practices throughout the resolution process.

Repwest – Phoenix, AZ

Senior Excess Workers’ Compensation Adjuster

May 2016 to January 2021

Managed excess run-off workers’ compensation claims for multiple jurisdictions.

Settled large catastrophic claims via annuity and CMS approval.

Financial Analyst for the life of the claim.

Ensure the TPA was following the rules and regulations for their jurisdiction.

Reported to the president of Repwest monthly for large loss committee meetings.

Reviewed files every six months to get the insurer reimbursed.

Gallagher Bassett Services – Scottsdale, AZ

Sr. Workers’ Compensation Claims Representative

July 2009 to April 2016

Lead dedicated CA specialist for a self-insured national account in the Laundry

Services industry.

Interview claimants and investigate the validity of the alleged injury.

Initial 24-hour 3-point contact.

Procure services of professional investigations to surveillance claimants as

needed and outside vendor for IME, Medicare Set-A-Sides, and annuity quotes

when necessary.

Report to Excess Workers’ Compensation.

Collaborate with defense counsel, Human Resources, and treating physicians.

Functions as an injured employee advocate in cooperation with others to

Facilitate prompt diagnosis, treatment, rehabilitation, and prompt return to work.

Calculate TTD wages, PPD benefits, and PTD benefits for settlements.

Negotiate settlements with Defense Counsel and Petitioners Counsel.

Quarterly reviews of 125 to 150 each quarter.

Process all medical bills and TTD, PDA as required.

Zurich North America/Claims

Claims Specialist III

2008 - 2009

Education:

West High-School – Diploma

Licenses & Certifications: AZ Adjuster’s License, CA Workers’ Compensation Designation and a Certified Nursing Assistance.

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