CHRISTINE GROAT

ad1rv1@r.postjobfree.com

518-***-****

PROFILE

● Experienced claims management professional with over 20 years experience in the Workers’ Compensation industry

● Meticulous, organized, and initiative-taking

● Customer center with expertise collaborating with clients as well as both internal and external business partners

EXPERIENCE

Gallagher Bassett

Senior Resolution Manager 2022 - 2023

● Adjudicate lost time claims in New York.

● Conduct thorough investigations, make compensability determinations, evaluate claim exposures, and set reserves per client service instructions.

● Calculate, pay benefits and awards owed in within required timeline, including wage loss payments.

● Manage litigation process and ensure timely, cost-effective claims resolutions.

● Coordinate with internal and external vendor partners to reduce overall claims expenses.

● Collaborate with client to safely return injured worker to the workforce. When appropriate, mitigate claim exposure via negotiation of settlement. Sedgwick CMS

Senior Claims Examiner 2004 – 2022

● Adjudicate claims in multiple jurisdictions.

● Conduct thorough investigations, make compensability determinations, evaluate claim exposures, and set reserves per client service instructions.

● Ensure appropriate medical treatment and partner with vendors for additional medical management, when appropriate, to secure best care and outcomes for injured workers.

● Calculate, pay benefits and awards owed in within required timeline, including wage loss payments.

● Manage litigation process and ensure timely, cost-effective claims resolutions.

● Coordinate with internal and external vendor partners to reduce overall claims expenses.

● Collaborate with client to safely return injured worker to the workforce. First Cardinal

Senior Claims Examiner 1999 – 2004

● Managed complex NYS workers’ compensation claims.

● Verified coverage and paid applicable benefits.

● Successfully resolved claims while mitigating client exposure. EDUCATION, LICENSES AND AWARDS

Arkansas State University, Bachelor of Science, Journalism, 1993 Licensed Adjuster for NY, CA, and MI

Received Sedgwick Values in Action MVP Award 2017

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