Financial Services Claims Adjuster
Resume:
To: Recruitment Manager
My name is Fran E. Chestand. This letter is to advise you of my interest in consideration for the Sr. Litigation Workers’ Compensation Specialist position that I have the right mix of skills, experience and education that make me an ideal candidate for this particular position.
My current focus has been in Claims Adjuster Case Management and as a Paralegal in Litigation Administrative Compliance Management, and with Microcomputer Software/Hardware Technical Skill set with 10 plus years of experience. Considering my Legal/Insurance Financial Services & Compliance, and Technical background, I feel that I am qualified to perform the duties consistent with your job specifications as my recent employment has given me the proven ability to handle legal documents preparations and filings as a result of my professional tenure.
I have learned the critically important role of being a team player as well as how to work independently to drive results. My background in the field of Law, Telecommunications, and Insurance Financial Services as well as developing into the next generation of management is extensive. I have worked on the front end on legal litigation management/insurance claims to ensure the high-end directives of such legal processes as well as supporting hierarchy of high-end management at the corporate level in an effort to create sound resolution plans and strategies with our products and services. My administrative assistant experiences are impeccable with an extensive skill set for high productivity and ethical compliance.
I am highly trained in software applications and have been staffed as solely responsible for activities that require my expertise in various software packages within the legal/insurance, and customer services arena. Multiple State Jurisdictional licensed and handling in FL-ALL Lines Adjuster License, GA-CWCP, AL, NC, SC, TN, LA, TX, OK, VA and MD with 29 years of experience. I have also obtained my “Accredited Claims Associate” Designation.
I hope to be considered for the Workers’ Compensation Specialist/Risk Analyst position. I look forward to talking with you about this opportunity and ultimately contributing to the continued success of your organization, I can be contacted by phone or e-mail, which is noted in aforementioned letterhead of the correspondence. I plan to relocate to Austin, Texas.
Respectfully,
Fran E. Chestand
Fran E. Chestand
118 Florida Ave
Coral Gables, FL 33133
Email: ad4cdj@r.postjobfree.com
Objective: Challenging Career
CORE SKILLS:
oDemonstrated ability to analyze information identifies significant factors, gather pertinent data, and develop solutions, research, analysis, and investigations.
oAn effective problem-solver with excellent organizational and time management skills; capably liaises and manages business relationships.
STRENGTHS:
Excellent interpersonal relations/oral and written communication skills
Versatility, adaptability, and willingness to tackle new responsibilities and multiple tasks; self-starter, assertive, positive “can do” attitude, and team player
Personally, committed to the highest ethical standards
Proven history of achieving the highest levels of performance and productivity
Resilient, Strong enterprising spirit and character, Innovative thinker, Resourceful
PROFESSIONAL WORK EXPERIENCE
12/2021- Present Hanover Insurance (Remote) Duluth, GA
Senior Workers’ Compensation Claims Adjuster
Managed a claim load of 125-170 claims equates to an estimated $20 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Aggressively managed inventory to ensure timely file closing or timely reassignment if necessary while conferring with management team to ensure the claims/files are handled in such a manner that is consistent with industry and company guidelines and requirements.
12/2019- 12/2021 Utica National Insurance (Remote) Duluth, GA
Senior Workers’ Compensation Claims Adjuster
Managed a claim load of 135-155 claims equates to an estimated $15 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Aggressively managed inventory to ensure timely file closing or timely reassignment if necessary while conferring with management team to ensure the claims/files are handled in such a manner that is consistent with industry and company guidelines and requirements.
02/2017- 12/2019 Ascendant Claims Services Coral Gables, FL
Senior Workers’ Compensation Claims Adjuster
Managed a claim load of 130 claims equates to an estimated $10 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Aggressively managed inventory to ensure timely file closing or timely reassignment if necessary while conferring with management team to ensure the claims/files are handled in such a manner that is consistent with industry and company guidelines and requirements.
12/2014- 01/2017 AmTrust Financial Services & IRS/York Risk Services Boca Raton, FL
Senior Workers’ Compensation Claims Adjuster - Contractor
Managed a claim load of 150 claims equates to an estimated $158 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Aggressively managed inventory to ensure timely file closing or timely reassignment if necessary while conferring with management team to ensure the claims/files are handled in such a manner that is consistent with industry and company guidelines and requirements.
10/2012-11/2014 Careers2Day Staffing Services Lawrenceville, GA
Recruiter –Staffing/Marketing Specialist
Marketing/Recruiting for Home Based Telecommunications.
Human Resources, New Hire Paperwork Processing
Workers’ Compensation and State Form Compliance Regulator
Bookkeeping/Payroll Record Processing and Filings.
Managed a claim load of 150/ 250 claims equates to an estimated $128 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Aggressively managed inventory to ensure timely file closing or timely reassignment if necessary while conferring with management team to ensure the claims/files are handled in such a manner that is consistent with industry and company guidelines and requirements.
Superior negotiation skills and ability to deal effectively with plaintiff attorneys as claims were aggressively settlements, with and without legal litigation of the files, saving the company an estimated 7-figure annually.
10/2011-10/2012 Broward County Risk Management Fort Lauderdale, FL
Senior Workers’ Compensation/BI Claims Adjuster – Contractor
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Superior negotiation skills and ability to deal effectively with plaintiff attorneys as claims were aggressively settlements, with and without legal litigation of the files, saving the company an estimated 7-figure annually.
Setup/Intake of new claims with 3-point contacts with aggressively managing inventory to resolution opportunities, (i.e.) return to work, structured settlement, and discontinuance of income benefits through litigation.
09/2009-10/2011 Jacobs Solution Contracting/Broadspire/X-Changing Pompano Beach/Sunrise, FL
Senior Workers’ Compensation Claims Adjuster - Contractor
Managed a claim load of 150/ equates to an estimated $14.5 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Superior negotiation skills and ability to deal effectively with plaintiff attorneys as claims were aggressively settlements, with and without legal litigation of the files, saving the company an estimated 7-figure annually.
07/2007-09/2009 CNA Insurance Duluth, GA
Senior Workers’ Compensation Claims Adjuster
Managed a claim load of 170/190 / equates to an estimated $18.5 million annually, demonstrated ability to handle mid-to high exposure claims including catastrophic claims.
Established appropriate accounting financial reserves to reflect claim exposure and document rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Aggressively managed inventory to ensure timely file closing or timely reassignment if necessary while conferring with management team to ensure the claims/files are handled in such a manner that is consistent with industry and company guidelines and requirements.
Established a file on the system: initiating letters, filling out state reporting forms and all other necessary state regulated documents.
05/1995 – 09/1999
06/2005-07/2007 St. Paul Travelers Insurance Alpharetta, GA
Sr. Workers’ Compensation RTW Case Manager
Managed a claim load of 160/175 / equates to an estimated $13.6 million annually with demonstrated ability to handle mid-to high exposure claims.
Established appropriate financial accounting reserves to reflect claim exposure with a documented rationale in claim notes, payment of indemnity, medical, and litigation expenses.
Superior negotiation skills and ability to deal effectively with plaintiff attorneys as claims were aggressively settlements, with and without legal litigation of the files, saving the company an estimated 7-figure annually.
Setup/Intake of new claims with 3-point contacts with aggressively managing inventory to resolution opportunities, (i.e.) return to work, structured settlement, and discontinuance of income benefits through litigation.
02/2003 – 06/2005 Grove, Jones & Melders, Attorneys at Law Oklahoma City, OK
Paralegal/Legal Administrative Assistant to Managing Partner
Social Security/Workers’ Compensation/Family and Divorce Law Administrative Legal Assistant to Managing Partner completed drafted legal briefs for review by Attorney and filing with Court System, prepared documents, and memorandums. Comprehensive understanding of all relevant laws and regulations as well as related medical and legal terminology required by law with expertise.
Claims case manager, intake of new clients, prepared briefs, and docketing of litigation dates for court hearings, briefs, through Time Matters software with data analysis, typing, and etc.
Setup new files and monitored completed electronic case filing of legal forms and documents through Federal electronic filing system.
Requested and processed medical record documents, filing, copying, and notary public
Client assistance with new application processing of initial, reconsiderations, and requesting an Administrative hearing before an Administrative Law Judge with Social Security Administration or the State Board of Workers’ Compensation.
11/1999 - 02/2003 Sprint PCS Oklahoma City, OK
Team Lead Retention Specialist Supervisor
Wireless Telecommunications Specialist in the Retention department as a Team Lead Retention Specialist, handled escalated telephone calls from customers, with a save rate of 90% retention of the companies’ customers with major complaints and problems and implementing a sound resolution, while mentoring customer service representatives, monitoring, implementing improvement processes
Oversaw investigations of complaints of cellular phone problems, billing disputes, and payment issues with a positive collection rate.
Shipped new phone equipment as replacements when warranted for defective equipment through world-class customer service techniques.
COMPUTER INFORMATION TECHNOLOGY SKILLS
Proficient in use of most major computer systems, information systems, spreadsheet applications, graphic and presentation applications, and word processing applications, including but not limited to: Windows 98 / ME / 2000 / XP / Vista; Microsoft WordPerfect; Microsoft Office Suite: MS Word, MS Excel, MS Access, PowerPoint; MS Publisher; Internet Explore; Netscape Navigator; Lotus 123; 60 wpm typing; SAP; Time-Matters; Lexus-Nexus and Westlaw; Summations & Concordances.
LICENSES/CERTIFICATIONS
CWCP-Georgia Workers’ Compensation Adjuster
North Carolina Workers’ Compensation Adjuster
South Carolina Workers’ Compensation Adjuster
Florida Insurance ALL Lines Adjuster License
OTHER RELEVANT PROFESSIONAL DEVELOPMENT TRAINING AND QUALIFICATIONS
Broad legal proficiency and competency
oto assist with conducting legal research, prepare legal memoranda, draft proposed opinions, and make oral presentations
oto assist with searching case reports, legal documents, periodicals, and textbooks; prepare legal letters, memoranda, legal documents for use by higher officials in the preparation of opinions, legislative reports, briefs, contracts, and other papers or legal documents
oto assist with handling cases pending before administrative tribunals, litigate matters before courts of original jurisdiction, or argument in appellate courts; legal questions referred by administrative officials, such as questions concerning the interpretation and application of statutes, rules, and regulations as they pertain to highly sensitive matters
EDUCATION
University of Phoenix
Oklahoma City, Oklahoma
Business Management
Bachelor of Science in Management
Graduated: March 31, 2005
GPA: 3.33 on 4.00 Scales
Metropolitan College
Oklahoma City, Oklahoma
Paralegal Studies
Associate of Science in Paralegal
Graduated: June 27, 2003
GPA: 3.47 on 4.00 Scales
REFERENCES : Provided Upon Request
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