Darlene Klein Vila

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

Palm Bay, FL 32905

412-***-****

ad31o2@r.postjobfree.com

Objective As I am semi-retired, I am looking to work part time in customer service or retail positions. I have worked for three years as part time cashier at Aldi and Dollar Tree in Pittsburgh before relocating to Florida.

Qualifications East Coast Risk Management June 2019 to November 2019

Risk Manager/Consultant

Oversight of WC Claims for our clients, including reporting of claims, gathering information and facilitating carrier communications.

Develop and implement Physicians Panels, return to work programs to ensure appropriate medical care and train insured in Best Practices for same

Identify and assist insured in documenting subrogation potential and facilitate pursuit of same in tandem with carriers

Train clients on workers comp protocols

Monitor medical management and appropriateness of care

Jurisdictions include PA, NJ, NY, VA, MT, WI, and KY

Sedgwick Risk Management, June 2018 to June 2019

Senior Claims Examiner

Manage lost time claims for Macys and Bloomingdales

Process medical bills and review for proper coding, etc

For NJ and PA

Liaison with Excess carrier

Gallagher Bassett Services March 2015 to June 2018

Team Lead

Manage lost time claims for First Student America, Greyhound, Manpower, Dish Network for PA and NJ

Develop and implement claims procedures and physicians panels

Litigation management

Training of new hires

Backup to supervisor with new claims assignments

Recipient of several service awards from dedicated account

Motorists Insurance Group Jan 2012 to February 2015 Monroeville, PA

Workers Comp Claims Supervisor

Supervised nine adjusters located in PA and OH

Implemented Best Practices and numerous cost containment programs

Liaison between agents, insureds and adjuster

Vendor Management

Conducted numerous in-house training seminars

Directed TPA in handling of legacy files

Jurisdictions include: PA, IN, KY, WV, NY, CT, MN, IL, MI, NH, NJ, FL, TX, DE, WI, OR

East Coast Risk Management June 2010 to January 2012 Pittsburgh, PA

WC Claims Manager

Consultant for workers’ compensation claims for Keystone Insurance Group brokers and their customers.

Develop and implement claims procedures, physicians panels and claims manuals for new clients.

Monitor client loss runs for proper reserves, closings and subrogation recoveries.

Act as liaison between employers, claimants and adjusters.

Facilitate compensability investigations.

Jurisdictions include: PA, NY, VA, WV, OH, MD, WI, OK, TX, NC, TN

SRS Selective Risk Services January 2008 to June 2010 Pittsburgh, PA

Claims Specialist III

Adjust workers comp claim for dedicated self-insured clients including: Alcoa, Reynolds, Armstrong Floors, Crate & Barrel, Men’s Warehouse, Brunswick, & Williams Sonoma.

Jurisdictions include: PA, VA, NJ

Provided technical support for legal bill review system for Eastern Region.

Sedgwick CMS March 2007 to December 2007 Pittsburgh, PA

Claims Specialist III

Manage workers compensation claims for dedicated self-insured clients including: USAir, Bed Bath & Beyond.

Jurisdictions include: PA, MD, DE, NJ

AIG July 2000-March 2007 Pittsburgh, PA

Claims Representative III

Manage PA and NJ workers compensation files

Liaison for medical management provider

Expert user/trainer for operating system, iClaims, Legal billing

Recipient of Meritorious Service Award 2005.

Jurisdictions include: PA, NJ

Klein Insurance 1999-2000 White Oak, PA

Property-Casualty Insurance Agent

Family insurance agency

Primary carrier was Erie Insurance Group

Concurrently worked Second Injury Fund subrogation files for TFG in Florida

Transportation Financial Group 1994 –1999 Ft Lauderdale, Florida Workers Compensation Claims Manager

Managed department that handled claims on a premium base that started at 3 million and grew to 22 million

Developed and implemented a managed care program for affiliated carrier, Transportation Casualty Insurance Company, and other carriers for whom we were MGA: Reliance Reinsurance Corp. and Front Royal Insurance Co. (affiliate to Rockwood Ins. Co.)

Identified, developed and secured reimbursement from the State Second Injury Fund with pending recoveries totaling approximately one million dollars. (Had the highest percentage rate of return than any carrier or TPA in the State.)

Served as underwriting product manager for our largest workers’ compensation producer

1990 to 1994 Alexis Risk Management Miami, FL

Assistant Branch Manager

Supervised staff of 34

Serviced self-insured employers such as Dade County School District,

US Air, United Airlines, Dominos Pizza, several municipalities.

Education -Certified Workers’ Compensation Advisor (CWCA)

-12 CEUs each year for 22 years as licensed Workers’ Compensation Adjuster in Florida

- University of Hartford, Texas Lutheran College, and University of Pittsburgh

Interests Pittsburgh Clams Association; IWCR; Workers’ Compensation Claims Professionals-Florida; PIPAC; Varsity Soccer Booster President; Walked in two half marathons; Participated in Leukemia and Lymphoma Society charitable events; Annual Komen Race for the Cure, Pittsburgh Heart Walk for American Heart Association, United Way, Sing in church choir and Elizabeth Forward Area community chorus

References Available upon request

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