Lex Seng Phan

**** * *** ** *******, WA *****

ad3sja@r.postjobfree.com 206-***-****

Professional:

Dedicated claims manager with 25 years of experience in claims management. Solid team player with a positive demeanor and proven skills in establishing rapport with clients, employees, managers, and leaderships.

Skills:

•Very strong knowledge and work experience in unemployment laws and claims management

•10 years of experience providing lay legal representation before administrative law judges

•25 years of work experience in claims management, managing highly confidential and sensitive information effectively and with integrity

•Comfortable in public speaking

•Ability to plan, problem solve, execute, and multi-tasks while continuing to provide a high level of customer service

•Ability to work independently and in a team environment

•Excellent communication and interpersonal skills, ethics and cultural awareness

•Very strong analytical and organizational skills

•Proactive mindset with the ability to handle competing priorities, take initiative, and elevate issues to leadership for resolution

•Experience building relationships across organizational units with an ability to be an open, collaborative and trusted teammate

•Proficiency with Microsoft Office Suite, Microsoft Teams, Outlook, Word, PowerPoint, Excel, Unemployment Insurance Tracker and Origami Risk Management Information System (RMIS),

Work History:

Unemployment Insurance Claims Adjudicator (Claims Manager)

Washington Hospital Services

Seattle, Washington

8/1/2013 to 1/12/2024 - Mutual separation with severance

•Comprehensive Unemployment Insurance claims management

•Provide lay legal representation for employer clients before the Employment Security Department (ESD), Office of the Administrative Hearings (OAH), Commissioner's Review Office, and the District Tax Office

•Identify and prepare key witnesses, select and submit evidentiary documentation, make necessary objections, and make oral argument before the Administrative Law Judge (ALJ) for unemployment eligibility hearings

•Assist in marketing and presentation of unemployment services to potential clients and in the onboarding process of new clients

•Compile documents for review, file appeals and withdrawals, schedule hearings, request postponements, manage hearing calendar

•Write Petition for Review, arguments to persuade the commissioner to affirm or reverse the administrative law judge's order

•Request information from and provide information to both the Employment Security Department and the employer clients

•Represent the organization at client meetings, professional association meetings and workshops, and in all business dealings

•Perform administrative tasks, data entry, scanning, and filing

•Maintain the accuracy and confidentiality of data, records, and files

•Produce quarterly correspondence, charts, reports, and forms for clients using word processing, database, spreadsheet, and graphics soft ware

•Worker’s Compensation Claims Assistant - Perform office clerical duties, mails, filing, scanning, customer service and pay In-House invoices

Unemployment Insurance Claims Adjudicator

Washington State Employment Security Department

Seattle Claims TeleCenter

Seattle, Washington

6/1/1999 to 7/31/2013 - Quit work for a new job

Adjudicates claims involving complex analysis, determines appropriate claim status, conducts research and performs interviews to obtain facts that effect eligibility, determinations or redeterminations to allow or deny UI benefits that involve non-monetary issues including quits, discharges, availability, suitability, fraud and overpayment.

•Researches, gathers and analyzes required information to make accurate decision

•Interviews claimants, employers and third parties to obtain facts related to complex Unemployment Insurance eligibility issues

•Determines rebuttal requirements and the need for additional facts

•Represents the agency at appeal hearings

•Answers questions from claimants regarding procedures, laws, policies, rules and regulations; investigates and takes action on customer calls

•Answers complex questions from employers, claimants and others

•Produces clear, logical determinations for non-monetary decisions that will pass federal guidelines for timeliness and quality standards

•Resolves complex Unemployment Insurance claims issues

Education:

•University of Washington Seattle Campus

•Graduated June 1998 Bachelor of Arts

•Political Science

Professional Reference:

Upon request

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